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PIGEON PROVOST
NPI 1366134652
Marriage & Family Therapist in Los Angeles, CA

Active since May 24, 2023
1625 SCHRADER BLVD, LOS ANGELES, CA 90028(323) 993-7500 Get Directions Write a Review

NPPES record last updated: March 3, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 3, 2026, May 24, 2023 (2 updates tracked since 2023).

About Pigeon Provost NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PIGEON PROVOST (NPI 1366134652) is an individual marriage & family therapist in Los Angeles, California, licensed in California (AMFT160367) and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1366134652
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NamePIGEON PROVOST
Location Address1625 SCHRADER BLVDLos Angeles, CA 90028-6213
Mailing Address1625 Schrader BlvdLos Angeles, CA 90028-6213
Phone(323) 993-7500
Sole ProprietorNo
Enumeration DateMay 24, 2023
Last NPPES UpdateMarch 3, 20262 updates tracked since enumeration
NPPES CertifiedMarch 3, 2026
✔ NPI 1366134652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · AMFT160367
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
1625 SCHRADER BLVD, Los Angeles, CA 90028
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KEVIN THOMAS MARX PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1625 SCHRADER BLVD
LOS ANGELES, CA 90028
Los Angeles County (323) 993-7467
DEVIKA SHANKAR
Rehabilitation Practitioner
1625 SCHRADER BLVD
LOS ANGELES, CA 90028
Los Angeles County (323) 993-7504
AUDREY MACASIEB
Registered Nurse
1625 SCHRADER BLVD
LOS ANGELES, CA 90028
Los Angeles County (323) 993-8910
ANEDRA PRESSLEY RN
Registered Nurse
1625 SCHRADER BLVD
LOS ANGELES, CA 90028
Los Angeles County (323) 993-7434
ALAN GAONA
Rehabilitation Practitioner
1625 SCHRADER BLVD
LOS ANGELES, CA 90028
Los Angeles County (323) 993-8971
MR. RISHAD LAWYER LMFT
Marriage & Family Therapist
1625 SCHRADER BLVD
LOS ANGELES, CA 90028
Los Angeles County (323) 993-7500
ACE SEIDEL
Psychologist (Clinical)
1625 SCHRADER BLVD
LOS ANGELES, CA 90028
Los Angeles County (213) 466-5021
JULIE MOORE
Psychologist (Clinical)
1625 SCHRADER BLVD
LOS ANGELES, CA 90028
Los Angeles County (323) 860-5889

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pigeon Provost's NPI number?

The NPI number for Pigeon Provost is 1366134652. It was assigned to this individual provider in the NPPES registry on May 24, 2023.

Where is Pigeon Provost located?

Pigeon Provost practices at 1625 Schrader Blvd, Los Angeles, CA 90028. The listed phone number is (323) 993-7500.

What is Pigeon Provost's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Pigeon Provost was last updated on March 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.