JASON ICKOVITZ (NPI# 1083076368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083076368 |
| Entity Type | Individual |
| Full Name | JASON ICKOVITZ |
| Credential | LMFT |
| Practice Address |
8170 Beverly Blvd 203 Los Angeles CA 90048-4524 |
| Mailing Address |
317 N Ogden Dr Los Angeles CA 90036-2130 |
| Practice Telephone | 4242741564 |
| Mailing Telephone | 3106502501 |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2016-03-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
80112 | CA | Behavioral Health & Social Service Providers |
| Street Address |
8170 BEVERLY BLVD 203 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90048-4524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407924319 | Erica Joy Marchand | Psychologist | 8170 Beverly Blvd, Ste. 200b, Los Angeles, CA 90048-4524 | 2006-11-30 |
| 1639654593 | Karala Jenkins-turner | Marriage & Family Therapist | 8170 Beverly Blvd, Los Angeles, CA 90048-4524 | 2018-09-26 |
| 1598297970 | Allison Rudnick | Marriage & Family Therapist | 8170 Beverly Blvd, Suite 203, Los Angeles, CA 90048-4524 | 2017-04-03 |
| 1649713041 | Kathryn Lubow | Marriage & Family Therapist | 8170 Beverly Blvd, Suite 207, Los Angeles, CA 90048-4524 | 2016-12-02 |
| 1568912012 | Sara Howard | Marriage & Family Therapist | 8170 Beverly Blvd, Suite 100a, Los Angeles, CA 90048-4524 | 2016-10-08 |
| 1902263841 | Laura Collura | Marriage & Family Therapist | 8170 Beverly Blvd, Suite 207, Los Angeles, CA 90048-4524 | 2016-01-22 |
| 1316302383 | Kimberly Ann Gibson | Counselor | 8170 Beverly Blvd, Los Angeles, CA 90048-4524 | 2015-12-17 |
| 1275906125 | Abby Zilch | Marriage & Family Therapist | 8170 Beverly Blvd, Ste 201, Los Angeles, CA 90048-4524 | 2015-11-01 |
| 1699143636 | Jake Myers | Marriage & Family Therapist | 8170 Beverly Blvd, Suite 204, Los Angeles, CA 90048-4524 | 2015-09-08 |
| 1992110803 | Scott Singer | Marriage & Family Therapist | 8170 Beverly Blvd, Suite 107, Los Angeles, CA 90048-4524 | 2014-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609473420 | Alden Advanced Surgicenter LLC | Clinic/Center | 8741 Alden Drive, Suite B, Los Angeles, CA 90048 | 2020-10-05 |
| 1760090062 | New Dawn Tms Psychiatry | Clinic/Center | 640 S San Vincente Blvd, Ste. 210, Los Angeles, CA 90048 | 2020-07-22 |
| 1114547312 | Savannah Marie Gonzales | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd Suite 3636, Los Angeles, CA 90048 | 2020-04-17 |
| 1861048613 | Sam Dawkins | Internal Medicine | Suite 415e, 8631 West Third Street, Los Angeles, CA 90048 | 2019-08-16 |
| 1295202638 | Caleb Rogers Penn | Anesthesiology | Cedars-sinai Department of Anesthesiology, 8700 Beverly Blvd, Los Angeles, CA 90048 | 2018-10-24 |
| 1437641727 | Medical Imaging Center of Southern California-beverly Hills, Inc | Radiology | 8727 Beverly Blvd, Los Angeles, CA 90048 | 2018-06-01 |
| 1689164121 | Maulin Shah | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd Suite 5512, Los Angeles, CA 90048 | 2018-05-10 |
| 1013423631 | Abdul Ali Qaderi | Anesthesiology | 8700 Beverly Blvd Suite 4209, Los Angeles, CA 90048 | 2017-12-19 |
| 1619483559 | Sakeenah Hakim | Social Worker | 292 S. La Cienega Blvd, Suite 102, Los Angeles, CA 90048 | 2017-12-14 |
| 1851805048 | West Hollywood Medical Group Inc | General Practice | 8733 Beverly Blvd Suite #203, West Hollywood, CA 90048 | 2017-11-27 |
| Find all providers in zip 90048 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912506361 | Kathryn A Miller | Counselor | 1965 1/2 N Bronson Ave, Los Angeles, CA 90068-5601 | 2020-10-17 |
| 1669088464 | Bethel Los Angeles Community Development Corporation | Counselor | 7900 S Western Ave, Los Angeles, CA 90047-2715 | 2020-09-17 |
| 1346855244 | Sorenson Psychological and Assessment Services | Counselor | 12301 Wilshire Blvd Ste 413, Los Angeles, CA 90025-1051 | 2020-09-09 |
| 1841800190 | Daniela Sanchez | Counselor | 5081 Borland Rd, Los Angeles, CA 90032-3950 | 2020-08-02 |
| 1649888512 | David John Laing | Counselor | 3100 Riverside Dr Apt 220, Los Angeles, CA 90027-1481 | 2020-07-16 |
| 1366060659 | Amy H Kim | Counselor | 2152 Lemoyne St, Los Angeles, CA 90026-1950 | 2020-07-13 |
| 1083231435 | Leslie Gluck | Counselor | 11835 W Olympic Blvd Ste 815, Los Angeles, CA 90064-5056 | 2020-07-01 |
| 1104441112 | Barbara R Ponse | Counselor | 655 S Dunsmuir Ave Apt 201, Los Angeles, CA 90036-4087 | 2020-06-15 |
| 1033734264 | Shelley Baird Smith | Counselor | 265 S St Andrews Pl, Los Angeles, CA 90004-5029 | 2020-06-12 |
| 1801411566 | Tyler Grant Daly | Counselor | 4221 Wilshire Blvd # 290, Los Angeles, CA 90010-3512 | 2020-06-09 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90048 |
Please comment or provide details below to improve the information on JASON ICKOVITZ.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.