Lausd School Mental Health

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

License

LCSW 11953 Issued in CA

Legal business name

LAUSD SCHOOL MENTAL HEALTH

Practice address

6651 Balboa Ave
Van Nuys, CA 91406

Phone

(818) 997-2640

Fax

(818) 996-9850

NPI assigned

Oct 27, 2011

Organization subpart

Yes

Parent organization

LOS ANGELES UNIFIED SCHOOL DISTRICTAs reported in NPPES

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

Authorized official

Name

Ms. Kezia Miller, LCSW

Title

Program Facilitator

Phone

(818) 997-2640

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1319673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319673600000",
    "number": "1851677355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6651 BALBOA BLVD",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914065529",
            "telephone_number": "818-997-2640",
            "fax_number": "818-996-9850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6651 BALBOA AVE",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "91406",
            "telephone_number": "818-997-2640",
            "fax_number": "818-996-9850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUSD SCHOOL MENTAL HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LOS ANGELES UNIFIED SCHOOL DISTRICT",
        "enumeration_date": "2011-10-27",
        "last_updated": "2011-10-27",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "KEZIA",
        "authorized_official_title_or_position": "PROGRAM FACILITATOR",
        "authorized_official_telephone_number": "818-997-2640",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "CA",
            "license": "LCSW 11953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Local Education Agency (LEA) in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Local Education Agency (LEA) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; 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.