Individual provider Active NPI

Tara Joseph, LMFT, ATR

  • Marriage & Family Therapist
  • West Hollywood, CA
National Provider Identifier
1871032268
Registry record updated Feb 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
96728 Issued in CA
Practice address
8730 W Sunset Blvd Ste 550
West Hollywood, CA 90069-2278
Phone
(323) 997-4408
NPI assigned
Feb 17, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 96728 CA Primary

Addresses

Primary practice location

8730 W Sunset Blvd Ste 550
West Hollywood, CA 90069-2278

Mailing address

366 N Sierra Bonita Ave Apt 104
Los Angeles, CA 90036-2425
Phone (908) 809-0232

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260609002601 CA Practitioner - Marriage and Family Therapist 4284105321 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

29771 Niguel Rd
Apt B
Laguna Niguel, CA 92677-2051

29771 Niguel Rd Apt B
Laguna Niguel, CA 92677-2051

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
96728CAMDClinical Social Worker

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1487289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487289600000",
    "number": "1871032268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "366 N SIERRA BONITA AVE APT 104",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900362425",
            "telephone_number": "908-809-0232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8730 W SUNSET BLVD STE 550",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900692278",
            "telephone_number": "323-997-4408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "TARA",
        "credential": "LMFT, ATR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-17",
        "last_updated": "2017-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "96728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

Verify at the official NPI Registry.