Active NPI
Rebecca Lord Mullin, M.F.T.
- Marriage & Family Therapist
- Los Angeles, CA
National Provider Identifier
1760825368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 51213
- Practice address
- 11500 W Olympic Blvd
Suite 420
Los Angeles, CA 90064-1524 - Phone
- (310) 479-9798
- Fax
- (424) 744-8501
- NPI assigned
- Apr 12, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 51213 | CA | Primary |
Addresses
Primary practice location
11500 W Olympic Blvd
Suite 420
Los Angeles, CA 90064-1524
Mailing address
11500 W Olympic Blvd
Suite 420
Los Angeles, CA 90064-1524
Phone (310) 479-9798
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365724800000",
"number": "1760825368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11500 W OLYMPIC BLVD",
"address_2": "SUITE 420",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900641524",
"telephone_number": "310-479-9798",
"fax_number": "424-744-8501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11500 W OLYMPIC BLVD",
"address_2": "SUITE 420",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900641524",
"telephone_number": "310-479-9798",
"fax_number": "424-744-8501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLIN",
"first_name": "REBECCA",
"middle_name": "LORD",
"name_prefix": "Mrs.",
"credential": "M.F.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-12",
"last_updated": "2013-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "51213",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.