Active NPI
Rachael Reiss
- Marriage & Family Therapist
- Los Angeles, CA
National Provider Identifier
1801667456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- AMFT136098
- Practice address
- 4121 Coolidge Ave
Los Angeles, CA 90066-5413 - Phone
- (323) 207-9523
- NPI assigned
- Jan 12, 2024
- Sex
- Female
- Sole proprietor
- No
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 | AMFT136098 | CA | Primary |
Addresses
Primary practice location
4121 Coolidge Ave
Los Angeles, CA 90066-5413
Mailing address
215 Culver Blvd.
PO Box 5484
Playa del Rey, CA 90293-9998
Phone (323) 207-9523
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
| License | State | Type | Specialty |
|---|---|---|---|
| AMFT136098 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705017600000",
"number": "1801667456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 CULVER BLVD.",
"address_2": "PO BOX 5484",
"city": "PLAYA DEL REY",
"state": "CA",
"postal_code": "902939998",
"telephone_number": "323-207-9523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4121 COOLIDGE AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900665413",
"telephone_number": "323-207-9523"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REISS",
"first_name": "RACHAEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-12",
"last_updated": "2024-01-12",
"certification_date": "2024-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "AMFT136098",
"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 Jan 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.