WELLNEST - LEIMERT PARK
NPI 1639293574
Community/Behavioral Health in Los Angeles, CA

NPI Status: Active since March 17, 2007

Contact Information

4401 CRENSHAW BLVD STE 300
LOS ANGELES, CA
ZIP 90043
Phone: (323) 290-8360

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  • Organization
  • Community/Behavioral Health

About WELLNEST - LEIMERT PARK

This page provides the complete NPI Profile along with additional information for Wellnest - Leimert Park, a provider established in Los Angeles, California operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1639293574 assigned on March 2007. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Wellnest - Leimert Park. The authorized official of this NPI record is Lisa Hirsch Marin (Chief Operating Officer)

NPI
1639293574
Provider Legal Name
WELLNEST EMOTIONAL HEALTH & WELLNESS
Other Organization Name
WELLNEST - LEIMERT PARK
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4401 CRENSHAW BLVD STE 300 LOS ANGELES, CA 90043
Location Phone
(323) 290-8360
Mailing Address
3031 S VERMONT AVE LOS ANGELES, CA 90007
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-17-2007
Last Update Date
10-25-2022
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Location Map

Secondary Locations

  • 4401 Crenshaw Blvd Suite 300
    Los Angeles, CA 90043
    (323) 290-8360

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1251B00000XAgencies

Case Management

 
2252Y00000XAgencies

Early Intervention Provider Agency

 
3261QM0855XAmbulatory Health Care Facilities

Clinic/Center
Adolescent and Children Mental Health

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LISA HIRSCH MARIN

Authorized Official Title
CHIEF OPERATING OFFICER
Authorized Official Phone
(323) 372-2400

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
CT052192MEDICAID (05)CA 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1639293574
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2669496514
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 4 + 9 + 6 + 5 + 1 + 4 + 24 = 76
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 76 = 44

The NPI number 1639293574 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

MADISON BOTTORFF

Counselor

(Mental Health)

4401 CRENSHAW BLVD STE 300
LOS ANGELES, CA
ZIP 90043

(323) 290-8360

ERICA HUSKEY

Rehabilitation Practitioner

4401 CRENSHAW BLVD STE 300
LOS ANGELES, CA
ZIP 90043

(323) 290-8360

LAUREN ELIZABETH PAOLINO

Counselor

(Mental Health)

4401 CRENSHAW BLVD STE 300
LOS ANGELES, CA
ZIP 90043

(323) 290-8360

MISS SHALINI MALASINGAM

Marriage & Family Therapist

4401 CRENSHAW BLVD STE 300
LOS ANGELES, CA
ZIP 90043

(323) 290-8360

VICENTE MORALES GONZALEZ

Rehabilitation Practitioner

4401 CRENSHAW BLVD STE 300
LOS ANGELES, CA
ZIP 90043

(323) 290-8360

TANDREA NICOLE TARVER MA, MFTI

Marriage & Family Therapist

4401 CRENSHAW BLVD STE 300
LOS ANGELES, CA
ZIP 90043

(323) 290-8360

NANCY SALAZAR

Student in an Organized Health Care Education/Training Program

4401 CRENSHAW BLVD STE 300
LOS ANGELES, CA
ZIP 90043

(323) 290-8360

KARIANN LORRAINE HERRERA

Social Worker

(Clinical)

4401 CRENSHAW BLVD STE 300
LOS ANGELES, CA
ZIP 90043

(323) 290-8360

BIRTUKAN BELETE

Student in an Organized Health Care Education/Training Program

4401 CRENSHAW BLVD STE 300
LOS ANGELES, CA
ZIP 90043

(323) 290-8360

GABRIELA ROJAS TUFINO

Marriage & Family Therapist

4401 CRENSHAW BLVD STE 300
LOS ANGELES, CA
ZIP 90043

(323) 290-8360

JENNIFER RIBEIRO ASW, MSW

Counselor

(Mental Health)

4401 CRENSHAW BLVD STE 300
LOS ANGELES, CA
ZIP 90043

(323) 290-8360

RACHEL LEVY LCSW

Social Worker

(Clinical)

4401 CRENSHAW BLVD STE 300
LOS ANGELES, CA
ZIP 90043

(323) 290-8360

ANGELA GARCIA M.S AMFT

Marriage & Family Therapist

4401 CRENSHAW BLVD STE 300
LOS ANGELES, CA
ZIP 90043

(323) 373-2400

KARINA MELARA-ARROYO

Marriage & Family Therapist

4401 CRENSHAW BLVD STE 300
LOS ANGELES, CA
ZIP 90043

(323) 290-8360

DEBORAH NAGHI

Psychologist

(Clinical Child & Adolescent)

4401 CRENSHAW BLVD STE 300
LOS ANGELES, CA
ZIP 90043

(323) 290-8360

AMARILIS VEIGA MSW

Counselor

(Mental Health)

4401 CRENSHAW BLVD STE 300
LOS ANGELES, CA
ZIP 90043

(323) 290-8360

RAFAEL ANTONIO FOLGAR

Rehabilitation Practitioner

4401 CRENSHAW BLVD STE 300
LOS ANGELES, CA
ZIP 90043

(323) 204-1964

KATE TURNER

Student in an Organized Health Care Education/Training Program

4401 CRENSHAW BLVD STE 300
LOS ANGELES, CA
ZIP 90043

(503) 894-2673

LAZARUS LYNCH

Student in an Organized Health Care Education/Training Program

4401 CRENSHAW BLVD STE 300
LOS ANGELES, CA
ZIP 90043

(323) 290-8360

SECILIA RAMOS

Case Manager/Care Coordinator

4401 CRENSHAW BLVD STE 300
LOS ANGELES, CA
ZIP 90043

(323) 290-8360

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639293574, enumerated as an "organization" on March 17, 2007.

The provider is located at 4401 CRENSHAW BLVD STE 300 LOS ANGELES, CA 90043 and the phone number is (323) 290-8360.

Community/Behavioral Health with taxonomy code 251S00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.