Organization Active NPI

Experiences Therapy & Counseling

  • Marriage & Family Therapist
  • Torrance, CA
National Provider Identifier
1790648491
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
EXPERIENCES THERAPY & COUNSELING
Practice address
3450 Maricopa St Apt 46
Torrance, CA 90503-4937
Phone
(310) 734-9027
NPI assigned
Dec 8, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Authorized official

Name
Lacey B Dippolito, LMFT, LPCCNPI 1568105260
Title
Ceo, Clinical Director
Phone
(310) 734-9027

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

3450 Maricopa St Apt 46
Torrance, CA 90503-4937

Mailing address

3450 Maricopa St Apt 46
Torrance, CA 90503-4937
Phone (310) 734-9027

Other names 1

  • Experiences Therapy & Counseling Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260513000933 CA Part B Supplier - Clinic/Group Practice 6103395710 Receives reassigned benefits from 1 practitioner
Practice locations: Torrance, CA

National Provider Directory

National Provider Directory

Locations

8605 Santa Monica Blvd
#662352
West Hollywood, CA 90069

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": "1765152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786924800000",
    "number": "1790648491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 MARICOPA ST APT 46",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034937",
            "telephone_number": "310-734-9027",
            "fax_number": "877-497-3123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 MARICOPA ST APT 46",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034937",
            "telephone_number": "310-734-9027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPERIENCES THERAPY & COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-08",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A",
        "authorized_official_last_name": "DIPPOLITO",
        "authorized_official_first_name": "LACEY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO, CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "310-734-9027",
        "authorized_official_credential": "LMFT, LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Experiences Therapy & Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.