Individual provider Active NPI

Katherine Jean Lubahn, LMFT

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1922511476
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
100083 Issued in CA
Practice address
608 N Avenue 50
Los Angeles, CA 90042-3292
Phone
(213) 465-3607
NPI assigned
Nov 7, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 100083 CA Primary

Addresses

Primary practice location

608 N Avenue 50
Los Angeles, CA 90042-3292

Mailing address

3125 London St Apt 1
Los Angeles, CA 90026-3762
Phone (323) 309-0889

Other practice location 1

9171 Wilshire Blvd Ste 680
Beverly Hills, CA 90210-5542
Phone (213) 465-3607

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
100083CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1510012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1922511476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 LONDON ST APT 1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900263762",
            "telephone_number": "323-309-0889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 N AVENUE 50",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900423292",
            "telephone_number": "213-465-3607"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9171 Wilshire Blvd Ste 680",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "CA",
            "postal_code": "902105542",
            "country_code": "US",
            "telephone_number": "213-465-3607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUBAHN",
        "first_name": "KATHERINE",
        "middle_name": "JEAN",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-07",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "100083",
            "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 Mar 17, 2018; 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.