Active NPI
Windfall Family Therapy Prof Corp
- Marriage & Family Therapist
- San Pedro, CA
National Provider Identifier
1861176836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Legal business name
- WINDFALL FAMILY THERAPY PROF CORP
- Practice address
- 1891 N Gaffey St Ste I
San Pedro, CA 90731-1268 - Phone
- (424) 264-5288
- Fax
- (310) 634-0370
- NPI assigned
- Jun 12, 2023
- 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
- Lorraine Rose Iocolano, LMFT
- Title
- Ceo
- Phone
- (424) 264-5288
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
1891 N Gaffey St Ste I
San Pedro, CA 90731-1268
Mailing address
1891 N Gaffey St Ste I
San Pedro, CA 90731-1268
Phone (310) 621-9687
Other names 1
- Windfall Family Therapy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1891 N Gaffey St
Ste I
San Pedro, CA 90731
Phone (424) 264-5288
23545 Crenshaw Blvd
Ste 206
Torrance, CA 90505
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- San Pedro, CA
- NPI 1881115244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686528000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733097600000",
"number": "1861176836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1891 N GAFFEY ST STE I",
"city": "SAN PEDRO",
"state": "CA",
"postal_code": "907311268",
"telephone_number": "310-621-9687",
"fax_number": "310-634-0370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1891 N GAFFEY ST STE I",
"city": "SAN PEDRO",
"state": "CA",
"postal_code": "907311268",
"telephone_number": "424-264-5288",
"fax_number": "310-634-0370"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WINDFALL FAMILY THERAPY PROF CORP",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-12",
"last_updated": "2024-12-02",
"certification_date": "2024-12-02",
"status": "A",
"authorized_official_last_name": "IOCOLANO",
"authorized_official_first_name": "LORRAINE",
"authorized_official_middle_name": "ROSE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "424-264-5288",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Windfall Family Therapy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Windfall Family Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Pedro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.