Elizabeth W Labolt, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LLMFT88920 Issued in CA

Practice address

1755 Ocean Ave Apt 408
Santa Monica, CA 90401-3619

Phone

(708) 785-2692

NPI assigned

Jan 16, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1516060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516060800000",
    "number": "1992213615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 OCEAN AVE APT 408",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904013619",
            "telephone_number": "708-785-2692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 OCEAN AVE APT 408",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904013619",
            "telephone_number": "708-785-2692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABOLT",
        "first_name": "ELIZABETH",
        "middle_name": "W",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-16",
        "last_updated": "2018-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LLMFT88920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• L Joel Kessler M D a Medical Corporation
• La Spine Intervention
• Anna Charlotta La Via, M.D.
• Mike Quoc Chau La, M.D.
• Julia Anne Labarbera, NP
• George Edward Labrot, MD
• Susannah Lacagnina, RD MPH CDE
• Irene Vaughan Lacaillade, DPT
• Anila Ladak
• Parshawn Lahiji, DO

• Marriage & Family Therapist in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.