EXODUS MLK ICC CTT
NPI 1740771559
Community/Behavioral Health in Los Angeles, CA
About Exodus Mlk Icc Ctt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EXODUS MLK ICC CTT (NPI 1740771559) is a healthcare organization registered as a community/behavioral health in Los Angeles, California and active in the NPI registry since May 2018. The organization lists Leeann Skorohod, Coo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Exodus Mlk Icc Ctt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
27Medicare enrollment records show 27 clinicians reassign Medicare billing to Exodus Mlk Icc Ctt, which bills Medicare for the services they deliver. Of these, 7 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 4
Nearest to this location (20)
See all 27Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Exodus Recovery, Inc.'s NPI number?
The NPI number for Exodus Recovery, Inc. is 1740771559. It was assigned to this organization in the NPPES registry on May 29, 2018. The provider is also known as Exodus Mlk Icc Ctt.
Where is Exodus Recovery, Inc. located?
Exodus Recovery, Inc. is located at 12021 S Wilmington Ave Bldg 18 Ste 100 Rooms 1106, 1109, 1113, 1115, 1116, 1119, 1125, 1129, Los Angeles, CA 90059. The listed phone number is (562) 295-5916.
What is Exodus Recovery, Inc.'s specialty?
The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.
Is Exodus Recovery, Inc. enrolled in Medicare?
Yes. Exodus Recovery, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Exodus Recovery, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 27 clinicians in 4 Medicare specialties reassign their Medicare billing to Exodus Recovery, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (12), Marriage and Family Therapist (6) and Clinical Social Worker (5). Of these, 7 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Exodus Recovery, Inc. was last updated on April 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Exodus Mlk Icc Ctt · NPI 1740771559
Community/Behavioral Health organization in Los Angeles, California. Organization record, active in the CMS NPPES registry since May 29, 2018.
## Identity
- **NPI:** 1740771559 (Entity type: Organization)
- **Enumerated:** May 29, 2018
- **Primary specialty:** Community/Behavioral Health · taxonomy 251S00000X
- **Legal business name:** Exodus Recovery, Inc.
- **Organization subpart:** No
- **Authorized official:** Leeann Skorohod, COO
## Practice location
- **Address:** 12021 S WILMINGTON AVE BLDG 18 STE 100, ROOMS 1106, 1109, 1113, 1115, 1116, 1119, 1125, 1129, Los Angeles, CA 90059-3019
- **Phone:** (562) 295-5916 · **Fax:** (562) 295-5965
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 27 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (12), Marriage and Family Therapist (6), Clinical Social Worker (5); 7 practice within 10 miles; [full list](https://npiprofile.com/npi/1740771559/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 25, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1740771559) · Data from the CMS NPPES public registry.