NPIMap

Individual provider Active NPI

Eunice Jeon

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1891212098
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
101615 Issued in CA
Practice address
8616 La Tijera Blvd Ste 200
Los Angeles, CA 90045
Phone
(310) 337-1550
NPI assigned
Aug 28, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 101615 CA Primary

Addresses

Primary practice location

8616 La Tijera Blvd Ste 200
Los Angeles, CA 90045

Mailing address

8616 La Tijera Blvd Ste 200
Los Angeles, CA 90045-3945

Other practice location 1

3727 W 6th St Ste 320
Los Angeles, CA 90020-5108
Phone (213) 389-6755

Other practice location 2

3727 W 6th St Ste 320
Los Angeles, CA 90020-5108
Phone (213) 389-6755

Other practice location 3

1730 W Olympic Blvd
Los Angeles, CA 90015
Phone (213) 553-1884

Other practice location 4

1730 W Olympic Blvd
Los Angeles, CA 90015
Phone (213) 553-1884

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
101615CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Korean American Family Services, Inc. (Kfam) Marriage & Family Therapist PastSince Jul 1, 2026 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1503878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1891212098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8616 LA TIJERA BLVD STE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8616 LA TIJERA BLVD STE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90045",
            "telephone_number": "310-337-1550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3727 W 6th St Ste 320",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900205108",
            "country_code": "US",
            "telephone_number": "213-389-6755",
            "fax_number": "213-389-5172",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3727 W 6th St Ste 320",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900205108",
            "country_code": "US",
            "telephone_number": "213-389-6755",
            "fax_number": "213-389-5172",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1730 W Olympic Blvd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "90015",
            "country_code": "US",
            "telephone_number": "213-553-1884",
            "fax_number": "213-236-9662",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1730 W Olympic Blvd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "90015",
            "country_code": "US",
            "telephone_number": "213-553-1884",
            "fax_number": "213-236-9662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEON",
        "first_name": "EUNICE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-28",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "101615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.