Organization Active NPI

Saba Harouni Lurie Marriage and Family Therapy Corporation

Doing business as Take Root Therapy

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1841850906
Registry record updated Jun 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
SABA HAROUNI LURIE MARRIAGE AND FAMILY THERAPY CORPORATION
Doing business as
Take Root Therapy
Practice address
4620 Hollywood Blvd
Los Angeles, CA 90027-5408
Phone
(323) 388-5578
NPI assigned
Jun 19, 2019
Last updated
Jun 19, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2019

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

Authorized official

Name
Ms. Saba Harouni Lurie
Title
Owner and Founder
Phone
(323) 388-5578

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

4620 Hollywood Blvd
Los Angeles, CA 90027-5408

Mailing address

4620 Hollywood Blvd
Los Angeles, CA 90027-5408
Phone (323) 388-5578

Other identifiers 5

IdentifierTypeStateIssuer
1073922415MedicaidCA
1982075990MedicaidCA
1639471832MedicaidCA
1164668620MedicaidCA
1992180673MedicaidCA

Other names 1

  • Take Root Therapy Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@takeroottherapy.com Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560902400000",
    "number": "1841850906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4620 HOLLYWOOD BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900275408",
            "telephone_number": "323-388-5578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4620 HOLLYWOOD BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900275408",
            "telephone_number": "323-388-5578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SABA HAROUNI LURIE MARRIAGE AND FAMILY THERAPY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-19",
        "last_updated": "2019-06-19",
        "status": "A",
        "authorized_official_last_name": "LURIE",
        "authorized_official_first_name": "SABA",
        "authorized_official_middle_name": "HAROUNI",
        "authorized_official_title_or_position": "OWNER AND FOUNDER",
        "authorized_official_telephone_number": "323-388-5578",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073922415",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982075990",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1639471832",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164668620",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992180673",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@takeroottherapy.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4620 Hollywood Blvd",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900275408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Take Root Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 19, 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.

Verify at the official NPI Registry.