Organization Active NPI

Love and Respect Youth Foundation

  • Counselor
  • Los Angeles, CA
National Provider Identifier
1992967129
Registry record updated Sep 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
LOVE AND RESPECT YOUTH FOUNDATION
Practice address
4728 S Western Ave
Los Angeles, CA 90062-2320
Phone
(323) 293-7388
Fax
(323) 293-7805
NPI assigned
Jun 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2008

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

Authorized official

Name
Ms. Koresha Babette Bell
Title
Agent of Record
Phone
(323) 293-7805

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101Y00000X CA Primary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X CA

Addresses

Primary practice location

4728 S Western Ave
Los Angeles, CA 90062-2320

Mailing address

4728 S Western Ave
Los Angeles, CA 90062-2320
Phone (323) 293-7388

National Provider Directory

National Provider Directory

Locations

4728 S Western Ave
Los Angeles, CA 90062
Phone (323) 293-7388

NPI Registry JSON

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222214400000",
    "number": "1992967129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4728 S WESTERN AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900622320",
            "telephone_number": "323-293-7388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4728 S WESTERN AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900622320",
            "telephone_number": "323-293-7388",
            "fax_number": "323-293-7805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVE AND RESPECT YOUTH FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-30",
        "last_updated": "2008-09-24",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "KORESHA",
        "authorized_official_middle_name": "BABETTE",
        "authorized_official_title_or_position": "AGENT OF RECORD",
        "authorized_official_telephone_number": "323-293-7805",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "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 Sep 24, 2008; 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.