Organization Active NPI

Jeongtherapy, a Licensed Clinical Social Worker Corporation

  • Mental Health Counselor
  • Los Angeles, CA
National Provider Identifier
1932809670
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
JEONGTHERAPY, A LICENSED CLINICAL SOCIAL WORKER CORPORATION
Practice address
432 S Willaman Dr
Los Angeles, CA 90048-6718
Phone
(213) 761-4246
NPI assigned
Mar 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

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

Authorized official

Name
Hong Jeong
Title
Owner
Phone
(253) 651-8072

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

432 S Willaman Dr
Los Angeles, CA 90048-6718

Mailing address

3010 Wilshire Blvd # 354
Los Angeles, CA 90010-1103

National Provider Directory

National Provider Directory

Locations

3010 Wilshire Blvd
Los Angeles, CA 90010
Phone (206) 851-0648

NPI Registry JSON

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

{
    "created_epoch": "1678320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678320000000",
    "number": "1932809670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 WILSHIRE BLVD # 354",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900101103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 S WILLAMAN DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900486718",
            "telephone_number": "213-761-4246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEONGTHERAPY, A LICENSED CLINICAL SOCIAL WORKER CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-09",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "JEONG",
        "authorized_official_first_name": "HONG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-651-8072"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "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 9, 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.