Active NPI
Jeongtherapy, a Licensed Clinical Social Worker Corporation
- Mental Health Counselor
- Los Angeles, CA
National Provider Identifier
1932809670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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 DirectoryLocations
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.