Individual provider Active NPI

Kaaren Migdale, LMFT

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1912675083
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
128772 Issued in CA
Practice address
1845 N Wilton PL
Los Angeles, CA 90028-5710
Phone
(310) 403-4923
NPI assigned
Sep 2, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 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 128772 CA Primary

Addresses

Primary practice location

1845 N Wilton PL
Los Angeles, CA 90028-5710

Mailing address

1845 N Wilton PL
Los Angeles, CA 90028-5710
Phone (310) 403-4923

Other identifiers 1

IdentifierTypeStateIssuer
127872OtherCALMFT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 24, 2024 through Mar 24, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
128772CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1912675083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 N WILTON PL",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900285710",
            "telephone_number": "310-403-4923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 N WILTON PL",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900285710",
            "telephone_number": "310-403-4923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIGDALE",
        "first_name": "KAAREN",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-02",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "128772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMFT",
            "identifier": "127872",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.