WEST LA THERAPIST CORP
NPI 1417491952
Marriage & Family Therapist in Los Angeles, CA

Active since December 16, 2016
11040 SANTA MONICA BLVD STE 209, LOS ANGELES, CA 90025(310) 582-1513 Get Directions Write a Review

NPPES record last updated: December 16, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About West La Therapist Corp NPPES

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

WEST LA THERAPIST CORP (NPI 1417491952) is a healthcare organization registered as a marriage & family therapist in Los Angeles, California and active in the NPI registry since December 2016. The organization lists Jacqueline Bloom-genevitz, Ceo/president, as its authorized official.

NPPES Registry Identity

NPI1417491952
Entity TypeOrganization
Primary Taxonomy106H00000X
Legal Business NameWEST LA THERAPIST CORP
Location Address11040 SANTA MONICA BLVD STE 209Los Angeles, CA 90025-7522
Mailing Address11040 Santa Monica Blvd Ste 209Los Angeles, CA 90025-7522
Organization SubpartNo
Authorized OfficialJacqueline Bloom-genevitzCeo/president · (310) 582-1513
Enumeration DateDecember 16, 2016
NPI 1417491952 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 · 43614
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.
11040 SANTA MONICA BLVD STE 209, Los Angeles, CA 90025

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 West La Therapist Corp's NPI number?

The NPI number for West La Therapist Corp is 1417491952. It was assigned to this organization in the NPPES registry on December 16, 2016.

Where is West La Therapist Corp located?

West La Therapist Corp is located at 11040 Santa Monica Blvd Ste 209, Los Angeles, CA 90025. The listed phone number is (310) 582-1513.

What is West La Therapist Corp'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 West La Therapist Corp was last updated on December 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.