Active NPI
John Carlton Lee, M.S., CCC-SLP
- Speech-Language Pathologist
- West Hollywood, CA
National Provider Identifier
1750820700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 25095
- Practice address
- 1261 N Laurel Ave Apt 3
West Hollywood, CA 90046-5131 - Phone
- (615) 598-3606
- NPI assigned
- Feb 22, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 25095 | CA | Primary |
Addresses
Primary practice location
1261 N Laurel Ave Apt 3
West Hollywood, CA 90046-5131
Mailing address
1261 N Laurel Ave Apt 3
West Hollywood, CA 90046-5131
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25095 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487721600000",
"number": "1750820700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1261 N LAUREL AVE APT 3",
"city": "WEST HOLLYWOOD",
"state": "CA",
"postal_code": "900465131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1261 N LAUREL AVE APT 3",
"city": "WEST HOLLYWOOD",
"state": "CA",
"postal_code": "900465131",
"telephone_number": "615-598-3606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JOHN",
"middle_name": "CARLTON",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-02-22",
"last_updated": "2017-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "25095",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.