Individual provider Active NPI

Gladys Susseth Barrientos

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1942943550
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
4221 Wilshire Blvd Ste 450
Los Angeles, CA 90010-3548
Phone
(323) 879-9176
Fax
(818) 484-4084
NPI assigned
Apr 20, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 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 Primary

Addresses

Primary practice location

4221 Wilshire Blvd Ste 450
Los Angeles, CA 90010-3548

Mailing address

1825 N Gramercy PL Apt 109
Los Angeles, CA 90028-5824
Phone (323) 344-2322

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

NPI Registry JSON

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

{
    "created_epoch": "1650412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1942943550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 N GRAMERCY PL APT 109",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900285824",
            "telephone_number": "323-344-2322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4221 WILSHIRE BLVD STE 450",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900103548",
            "telephone_number": "323-879-9176",
            "fax_number": "818-484-4084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRIENTOS",
        "first_name": "GLADYS",
        "middle_name": "SUSSETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-20",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "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 Apr 20, 2022; 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.