Active NPI
Tara Michelle Fass
- Marriage & Family Therapist
- Los Angeles, CA
National Provider Identifier
1992941066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC35078
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| MFC35078 | CA | MD | Marriage & Family Therapist |
| 35078 | CA | MD | Speech-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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.