Organization Active NPI

Lotus Licensed Marriage and Family Therapy, Inc

  • Marriage & Family Therapist
  • Hawthorne, CA
National Provider Identifier
1912615352
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
LOTUS LICENSED MARRIAGE AND FAMILY THERAPY, INC
Practice address
12816 Inglewood Ave # 73
Hawthorne, CA 90250-5118
Phone
(949) 229-0148
NPI assigned
Nov 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2023

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

Authorized official

Name
Laura Nguyen Russo, LMFTNPI 1174869127
Title
President
Phone
(949) 229-0148

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)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

12816 Inglewood Ave # 73
Hawthorne, CA 90250-5118

Mailing address

12816 Inglewood Ave # 73
Hawthorne, CA 90250-5118
Phone (949) 229-0148

Other practice location 1

555 W 9th St Ste 5
San Pedro, CA 90731-3157
Phone (949) 229-0148

Other practice location 2

5412 W 149th Pl Unit 9
Hawthorne, CA 90250-8383
Phone (949) 229-0148

National Provider Directory

National Provider Directory

Locations

555 W 9th St
Ste 5
San Pedro, CA 90731
Phone (424) 287-7567

Practitioners & affiliated clinicians

Practitioners 1

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": "1668384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673568000000",
    "number": "1912615352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12816 INGLEWOOD AVE # 73",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902505118",
            "telephone_number": "949-229-0148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12816 INGLEWOOD AVE # 73",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902505118",
            "telephone_number": "949-229-0148"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "555 W 9th St Ste 5",
            "address_purpose": "LOCATION",
            "city": "San Pedro",
            "state": "CA",
            "postal_code": "907313157",
            "country_code": "US",
            "telephone_number": "949-229-0148",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5412 W 149th Pl Unit 9",
            "address_purpose": "LOCATION",
            "city": "Hawthorne",
            "state": "CA",
            "postal_code": "902508383",
            "country_code": "US",
            "telephone_number": "949-229-0148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LOTUS LICENSED MARRIAGE AND FAMILY THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-14",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A",
        "authorized_official_last_name": "NGUYEN RUSSO",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-229-0148",
        "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": []
}

Other providers in Hawthorne, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; 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.