Alicia Dewell, LMFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

133369 Issued in CA

Practice address

2900 Riverside Drive
Unit 1
Los Angeles, CA 90039

Phone

(323) 207-6479

NPI assigned

Nov 3, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 5, 2024 through Jan 5, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1790386175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5433 ABBOTT PL APT 7",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900423300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 RIVERSIDE DRIVE",
            "address_2": "UNIT 1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90039",
            "telephone_number": "323-207-6479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWELL",
        "first_name": "ALICIA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-03",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "119858",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "133369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMFT REGISTRATION",
            "identifier": "119858",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMFT LICENSE",
            "identifier": "133369",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melanie Samantha Dewar, MD
• Sandra Dewar, CLINICAL NURSE
• Sean Dewberry
• Joshua Deweese
• Kyung Ok Choi Deweese
• Marni Dewes
• Allyson Dewey
• Keleigh Lynn Dewey
• Lynn Yvonne Dewgarde, M.D.
• Samira Dewidar

• Mental Health Counselor in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.