Individual provider Active NPI

Lydia Amanda Kosinar, MA, LMFT

  • Counselor
  • Santa Monica, CA
National Provider Identifier
1780140111
Registry record updated May 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
95899 Issued in CA
Practice address
2001 Wilshire Blvd Ste 505
Santa Monica, CA 90403-5640
Phone
(254) 258-4149
NPI assigned
Feb 11, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 95899 CA Primary

Addresses

Primary practice location

2001 Wilshire Blvd Ste 505
Santa Monica, CA 90403-5640

Mailing address

2001 Wilshire Blvd Ste 505
Santa Monica, CA 90403-5640

Other practice location 1

10801 National Blvd Ste 225
Los Angeles, CA 90064-4146
Phone (254) 258-4149

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 Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Lat Intensive Outpatient Programs Inc Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1549843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1780140111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 WILSHIRE BLVD STE 505",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 WILSHIRE BLVD STE 505",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035640",
            "telephone_number": "254-258-4149"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10801 National Blvd Ste 225",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900644146",
            "country_code": "US",
            "telephone_number": "254-258-4149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOSINAR",
        "first_name": "LYDIA",
        "middle_name": "AMANDA",
        "credential": "MA, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-11",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "95899",
            "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 May 20, 2022; 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.