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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- 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, 2019
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073922415 | Medicaid | CA | |
| 1982075990 | Medicaid | CA | |
| 1639471832 | Medicaid | CA | |
| 1164668620 | Medicaid | CA | |
| 1992180673 | Medicaid | CA |
Other names 1
- Take Root Therapy
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@takeroottherapy.com | Direct |
National Provider Directory
National Provider DirectoryNPI 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.