Active NPI
Nan Wang, AMFT, APCC
- Professional Counselor
- Los Angeles, CA
National Provider Identifier
1831073105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 19931
- Practice address
- 115 1/2 N Larchmont Blvd
Los Angeles, CA 90004-3896 - Phone
- (714) 367-4392
- NPI assigned
- Aug 1, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 156148 | CA | |
| Professional Counselor | 101YP2500X | 19931 | CA | Primary |
Addresses
Primary practice location
115 1/2 N Larchmont Blvd
Los Angeles, CA 90004-3896
Mailing address
232 E 2ND St. Unit a
8075
Los Angeles, CA 90012
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 |
|---|---|---|---|
| 156148 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754006400000",
"number": "1831073105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "232 E 2ND ST. UNIT A",
"address_2": "8075",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 1/2 N LARCHMONT BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900043896",
"telephone_number": "714-367-4392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "NAN",
"credential": "AMFT, APCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-01",
"last_updated": "2025-08-01",
"certification_date": "2025-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "156148",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "19931",
"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 Aug 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.