Active NPI
Kerri Cole
- Marriage & Family Therapist
- Culver City, CA
National Provider Identifier
1760924930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT110563
- Practice address
- 4760 Sepulveda Blvd
Culver City, CA 90230-4820 - Phone
- (310) 390-6612
- Fax
- (310) 398-5690
- NPI assigned
- Nov 4, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | IMF94300 | CA | |
| Marriage & Family Therapist | 106H00000X | LMFT110563 | CA | Primary |
Addresses
Primary practice location
4760 Sepulveda Blvd
Culver City, CA 90230-4820
Mailing address
1540 E Colorado St
Glendale, CA 91205-1514
Other practice location 1
15305 Rayen St
North Hills, CA 91343-5117
Phone (818) 892-3423
Other practice location 2
1019 Gayley Ave Fl 2
Los Angeles, CA 90024-3437
Phone (424) 273-8900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 95-2633765 | Other | CA | MEDI-CAL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMF94300 | CA | MD | Marriage & Family Therapist |
| LMFT110563 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Didi Hirsch Psychiatric Service | Current | Accepting new patients | |
| Didi Hirsch Psychiatric Service | Current | Accepting new patients | |
| Didi Hirsch Psychiatric Service | Current | Accepting new patients |
Locations
1540 E Colorado St
Glendale, CA 91205
Phone (818) 244-7257
4760 Sepulveda Blvd
Los Angeles, CA 90230
Phone (310) 751-5344
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Glendale, CA
- NPI 1265721708
-
- Community/Behavioral Health Agency
- Culver City, CA
- NPI 1730299959
-
- Substance Abuse Rehabilitation Facility
- Pacoima, CA
- NPI 1740539980
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728518400000",
"number": "1760924930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1540 E COLORADO ST",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912051514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4760 SEPULVEDA BLVD",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902304820",
"telephone_number": "310-390-6612",
"fax_number": "310-398-5690"
}
],
"practiceLocations": [
{
"address_1": "15305 Rayen St",
"address_purpose": "LOCATION",
"city": "North Hills",
"state": "CA",
"postal_code": "913435117",
"country_code": "US",
"telephone_number": "818-892-3423",
"fax_number": "818-893-4509",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1019 Gayley Ave Fl 2",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900243437",
"country_code": "US",
"telephone_number": "424-273-8900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLE",
"first_name": "KERRI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-04",
"last_updated": "2024-10-10",
"certification_date": "2024-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "IMF94300",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT110563",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL",
"identifier": "95-2633765",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Culver City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.