Organization Active NPI

Mario Palacios Therapy

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1770048951
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
MARIO PALACIOS THERAPY
Practice address
5556 S Centinela Ave
Los Angeles, CA 90066-6912
Phone
(310) 384-3922
NPI assigned
Feb 1, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Authorized official

Name
Mr. Mario Fernando Palacios, LMFTNPI 1518090018
Title
LMFT
Phone
(310) 384-3922

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

5556 S Centinela Ave
Los Angeles, CA 90066-6912

Mailing address

3824 Motor Ave Apt 21
Culver City, CA 90232-3156
Phone (310) 384-3922

Other names 1

  • Mario Palacios Doing business as

National Provider Directory

National Provider Directory

Locations

5556 S Centinela Ave
Los Angeles, CA 90066
Phone (310) 384-3922

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1548979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688515200000",
    "number": "1770048951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3824 MOTOR AVE APT 21",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902323156",
            "telephone_number": "310-384-3922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5556 S CENTINELA AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900666912",
            "telephone_number": "310-384-3922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIO PALACIOS THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-01",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A",
        "authorized_official_last_name": "PALACIOS",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "FERNANDO",
        "authorized_official_title_or_position": "LMFT",
        "authorized_official_telephone_number": "310-384-3922",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mario Palacios",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mario Palacios",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 5, 2023; 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.