NPIMap

Organization Active NPI

K&S Therapeutic Services, Inc.

  • Marriage & Family Therapist
  • Marina del Rey, CA
National Provider Identifier
1851768568
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT52250 Issued in CA
Legal business name
K&S THERAPEUTIC SERVICES, INC.
Practice address
4325 Glencoe Ave Ste 10082
Marina del Rey, CA 90292-6444
Phone
(310) 929-5519
Fax
(310) 388-1386
NPI assigned
Aug 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Authorized official

Name
Yeshiva D Davis, LMFTNPI 1114164357
Title
President
Phone
(310) 929-5519

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X LCSW60100 CA
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X LMFT52250 CA Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

4325 Glencoe Ave Ste 10082
Marina del Rey, CA 90292-6444

Mailing address

4325 Glencoe Ave Ste 10082
Marina del Rey, CA 90292-6444
Phone (310) 929-5519

National Provider Directory

National Provider Directory

Locations

5601 W Slauson Ave
Ste 178
Culver City, CA 90230
Phone (213) 255-5629

4325 Glencoe Ave
Ste 10082
Marina del Rey, CA 90292
Phone (310) 929-5519

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1440720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726531200000",
    "number": "1851768568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4325 GLENCOE AVE STE 10082",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926444",
            "telephone_number": "310-929-5519",
            "fax_number": "109-295-5193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4325 GLENCOE AVE STE 10082",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926444",
            "telephone_number": "310-929-5519",
            "fax_number": "310-388-1386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K&S THERAPEUTIC SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-28",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "YESHIVA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-929-5519",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW60100",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT52250",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marina del Rey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.