Individual provider Active NPI

Vanessa Sarai Duarte Menjivar, AMFT

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1780252684
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
AMFT137376 Issued in CA
Practice address
849 E 6TH St
Los Angeles, CA 90021-1026
Phone
(213) 623-8446
Fax
(213) 896-1880
NPI assigned
Jun 16, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Marriage & Family Therapist 106H00000X AMFT137376 CA Primary

Addresses

Primary practice location

849 E 6TH St
Los Angeles, CA 90021-1026

Mailing address

849 E 6TH St
Los Angeles, CA 90021-1026
Phone (213) 623-8446

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

State licenses

LicenseStateTypeSpecialty
AMFT137376CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Para Los Ninos PastSince Jun 22, 2021 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": "1623801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1780252684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "849 E 6TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900211026",
            "telephone_number": "213-623-8446",
            "fax_number": "213-896-1880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "849 E 6TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900211026",
            "telephone_number": "213-623-8446",
            "fax_number": "213-896-1880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUARTE MENJIVAR",
        "first_name": "VANESSA",
        "middle_name": "SARAI",
        "credential": "AMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-16",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT137376",
            "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 Mar 8, 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.