Individual provider Active NPI

Darlene Wooten

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1841052495
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
151400 Issued in CA
Practice address
4980 W 59TH St
Los Angeles, CA 90056-1741
Phone
(323) 412-0616
NPI assigned
Jan 29, 2024
Last updated
Feb 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 138 TN
Marriage & Family Therapist 106H00000X 151400 CA Primary

Addresses

Primary practice location

4980 W 59TH St
Los Angeles, CA 90056-1741

Mailing address

1477 Tiny Town Rd # 293
Clarksville, TN 37042-7202
Phone (615) 787-8775

Other practice location 1

4980 W 59th St
Los Angeles, CA 90056-1741
Phone (615) 787-8775 ext. 711

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

LicenseStateTypeSpecialty
151400CAMDMarriage & Family Therapist
138TNMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1841052495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1477 TINY TOWN RD # 293",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370427202",
            "telephone_number": "615-787-8775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4980 W 59TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900561741",
            "telephone_number": "323-412-0616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4980 W 59th St",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900561741",
            "country_code": "US",
            "telephone_number": "615-787-8775 x711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOOTEN",
        "first_name": "DARLENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-29",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "TN",
            "license": "138",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "151400",
            "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 Feb 18, 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.

Verify at the official NPI Registry.