Active NPI
Lorraine Rose Iocolano, LMFT
- Marriage & Family Therapist
- San Pedro, CA
National Provider Identifier
1881115244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 125786
- Practice address
- 1891 N Gaffey St Ste I
San Pedro, CA 90731-1268 - Phone
- (424) 264-5288
- Fax
- (310) 634-0370
- NPI assigned
- Jul 6, 2017
- Last updated
- Dec 2, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 108809 | CA | |
| Marriage & Family Therapist | 106H00000X | 108809 | CA | |
| Marriage & Family Therapist | 106H00000X | 125786 | CA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Rehabilitation Practitioner | 225400000X | NU |
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 (424) 264-5288
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1891 N Gaffey St
Suite I
San Pedro, CA 90731-1268
Phone (424) 264-5288
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 108809 | CA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Windfall Family Therapy Prof Corp | Marriage & Family Therapist | Current | Accepting new patients |
Locations
1891 N Gaffey St
Ste I
San Pedro, CA 90731
Phone (424) 264-5288
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Windfall Family Therapy
- Marriage & Family Therapist
- San Pedro, CA
- NPI 1861176836
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733097600000",
"number": "1881115244",
"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": "424-264-5288"
},
{
"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": {
"last_name": "IOCOLANO",
"first_name": "LORRAINE",
"middle_name": "ROSE",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-06",
"last_updated": "2024-12-02",
"certification_date": "2024-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "108809",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "108809",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "125786",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.