Individual provider Active NPI

Calvin Eubanks Powell, LMFT

  • Marriage & Family Therapist
  • West Los Angeles, CA
National Provider Identifier
1750415659
Registry record updated May 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT37386 Issued in CA
Practice address
2001 S Barrington Ave
Apt 203
West Los Angeles, CA 90025-5363
Phone
(310) 908-2725
Fax
(888) 901-4156
NPI assigned
Mar 15, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT37386 CA Primary

Addresses

Primary practice location

2001 S Barrington Ave
Apt 203
West Los Angeles, CA 90025-5363

Mailing address

401 Shirley PL Apt 110
Beverly Hills, CA 90212-4134
Phone (310) 908-2725

Other identifiers 1

IdentifierTypeStateIssuer
MFC 37386OtherCAMFT LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LMFT37386CAMDMarriage & Family Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464393600000",
    "number": "1750415659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 SHIRLEY PL APT 110",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902124134",
            "telephone_number": "310-908-2725",
            "fax_number": "888-901-4156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S BARRINGTON AVE",
            "address_2": "APT 203",
            "city": "WEST LOS ANGELES",
            "state": "CA",
            "postal_code": "900255363",
            "telephone_number": "310-908-2725",
            "fax_number": "888-901-4156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "CALVIN",
        "middle_name": "EUBANKS",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2016-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT37386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MFT LICENSE NUMBER",
            "identifier": "MFC 37386",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.