Lisa Palac, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

101981 Issued in CA

Practice address

127 Hart Ave
Santa Monica, CA 90405-3504

Phone

(323) 825-1677

NPI assigned

Dec 27, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1577404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1811536618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "578 WASHINGTON BLVD STE 324",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 HART AVE",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904053504",
            "telephone_number": "323-825-1677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALAC",
        "first_name": "LISA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-27",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "101981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pam Haines Paige
• Kenneth Sung Paik, DPT
• Sarah Anne Painter, LCSW
• Jonathan Pak
• Peter H Pak, M.D.
• Nicolaos Jay Palaskas, M.D.
• Benjamin Louis Palla, DMD
• Angela Pallesi, M.D.
• Palm Drive Emergency Physicians Medical Group Inc
• Kathleen Marie Palma, LMFT

• Marriage & Family Therapist in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.