Individual provider Active NPI

Tara Michelle Fass

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1992941066
Registry record updated Aug 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC35078 Issued in CA
Practice address
3831 Hughes Ave. Suite 708
Los Angeles, CA 90230-6842
Phone
(888) 851-5595
NPI assigned
Dec 19, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 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 MFC35078 CA Primary

Addresses

Primary practice location

3831 Hughes Ave. Suite 708
Los Angeles, CA 90230-6842

Mailing address

3831 Hughes Ave. Suite 708
Los Angeles, CA 90230-6842
Phone (888) 851-5595

Other practice location 1

519 N La Cienega Blvd Ste 16
West Hollywood, CA 90048-2007
Phone (323) 333-4340

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240617002751 CA Practitioner - Marriage and Family Therapist 2062955222 Practice locations: Culver City, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5731 W Slauson Ave
Suite 220
Culver City, CA 90230-6984
Phone (323) 333-4340

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFC35078CAMDMarriage & Family Therapist
35078CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1229644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533513600000",
    "number": "1992941066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3831 HUGHES AVE. SUITE 708",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "902306842",
            "telephone_number": "888-851-5595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3831 HUGHES AVE. SUITE 708",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "902306842",
            "telephone_number": "888-851-5595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "519 N La Cienega Blvd Ste 16",
            "address_purpose": "LOCATION",
            "city": "West Hollywood",
            "state": "CA",
            "postal_code": "900482007",
            "country_code": "US",
            "telephone_number": "323-333-4340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FASS",
        "first_name": "TARA",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-19",
        "last_updated": "2018-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC35078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.