Individual provider Active NPI

Jacob Aaron Rostovsky

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1831753847
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
AMFT111197 Issued in CA
Practice address
1355 S Hill St
Los Angeles, CA 90015-3012
Phone
(818) 430-8290
NPI assigned
Apr 24, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X AMFT111197 CA Primary

Addresses

Primary practice location

1355 S Hill St
Los Angeles, CA 90015-3012

Mailing address

1355 S Hill St
Los Angeles, CA 90015-3012

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
121615CAMDSocial Worker
AMFT111197CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Association of Lgbtq Affirmative Therapists Current Accepting new patients
Asscoiation of Affirmative Lgbtq Marriage and Family Therapy Current Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1831753847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 S HILL ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 S HILL ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153012",
            "telephone_number": "818-430-8290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSTOVSKY",
        "first_name": "JACOB",
        "middle_name": "AARON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-24",
        "last_updated": "2024-01-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT111197",
            "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 31, 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.

Verify at the official NPI Registry.