Active NPI
Jean Pappalardo, LMFT
- Marriage & Family Therapist
- Los Angeles, CA
National Provider Identifier
1831520121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 94424
- Practice address
- 11600 Washington PL Ste 203
Los Angeles, CA 90066-5068 - Phone
- (323) 553-1971
- Fax
- (310) 564-2280
- NPI assigned
- Dec 11, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | 94424 | CA | Primary |
Addresses
Primary practice location
11600 Washington PL Ste 203
Los Angeles, CA 90066-5068
Mailing address
11600 Washington PL Ste 203
Los Angeles, CA 90066-5068
Phone (323) 553-1971
Other practice location 1
1625 Schrader Blvd
Los Angeles, CA 90028-6213
Phone (323) 860-5844
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01261511 | Medicaid | CA |
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 |
|---|---|---|---|
| 94424 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575936000000",
"number": "1831520121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11600 WASHINGTON PL STE 203",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900665068",
"telephone_number": "323-553-1971",
"fax_number": "310-564-2280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11600 WASHINGTON PL STE 203",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900665068",
"telephone_number": "323-553-1971",
"fax_number": "310-564-2280"
}
],
"practiceLocations": [
{
"address_1": "1625 Schrader Blvd",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900286213",
"country_code": "US",
"telephone_number": "323-860-5844",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAPPALARDO",
"first_name": "JEAN",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-12-11",
"last_updated": "2019-12-10",
"certification_date": "2019-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "94424",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01261511",
"state": "CA"
}
],
"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 Dec 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.