Active NPI
Rachel Sillman, LMFT
- Marriage & Family Therapist
- Santa Monica, CA
National Provider Identifier
1770182800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 121623
- Practice address
- 2663 Centinela Ave Unit 307
Santa Monica, CA 90405-3156 - Phone
- (424) 265-6758
- NPI assigned
- Oct 20, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 121623 | CA | Primary |
Addresses
Primary practice location
2663 Centinela Ave Unit 307
Santa Monica, CA 90405-3156
Mailing address
2663 Centinela Ave Unit 307
Santa Monica, CA 90405-3156
Phone (310) 804-7532
Other practice location 1
2309 Ca-1
#207
Hermosa Beach, CA 90254
Phone (424) 265-6758
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 6, 2025 through Jan 6, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 121623 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656460800000",
"number": "1770182800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2663 CENTINELA AVE UNIT 307",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904053156",
"telephone_number": "310-804-7532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2663 CENTINELA AVE UNIT 307",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904053156",
"telephone_number": "424-265-6758"
}
],
"practiceLocations": [
{
"address_1": "2309 CA-1",
"address_2": "#207",
"address_purpose": "LOCATION",
"city": "Hermosa Beach",
"state": "CA",
"postal_code": "90254",
"country_code": "US",
"telephone_number": "424-265-6758",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SILLMAN",
"first_name": "RACHEL",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-20",
"last_updated": "2022-06-29",
"certification_date": "2022-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "121623",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.