MIVEN TRAGESER, LA CHILD THERAPIST
MIVEN TRAGESER, MFT · Counselor

Address: 6310 San Vicente Blvd Ste 415, Los Angeles, CA 90048-5457

MIVEN TRAGESER, LA CHILD THERAPIST (NPI# 1104330547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104330547
Entity Type Organization
Organization Name MIVEN TRAGESER, LA CHILD THERAPIST
Other Organization Name MIVEN TRAGESER, MFT (Other Name)
Practice Address 6310 San Vicente Blvd Ste 415
Los Angeles
CA 90048-5457
Practice Telephone 3237176803
Mailing Address 6310 San Vicente Blvd Ste 415
Los Angeles
CA 90048-5457
Mailing Telephone 3237176803
Enumeration Date 2017-11-21
Last Update Date 2017-11-21
Authorized Official Telephone 3238138238
Authorized Official Credential LMFT, LPCC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
N 101Y00000X Counselor 193200000X MULTI-SPECIALTY GROUP 1339 CA Behavioral Health & Social Service Providers
Y 101YP2500X Counselor
Specialization: Professional
193200000X MULTI-SPECIALTY GROUP 1339 CA Behavioral Health & Social Service Providers
N 106H00000X Marriage & Family Therapist 193200000X MULTI-SPECIALTY GROUP 49725 CA Behavioral Health & Social Service Providers

Other Provider/Organization Names

Other Name Type Code
Miven Trageser, MFT Other Name

Office Location

Street Address 6310 SAN VICENTE BLVD STE 415
City LOS ANGELES
State CA
Zip Code 90048-5457

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265829535 Monica Manibusan Marriage & Family Therapist 6310 San Vicente Blvd Ste 415, Los Angeles, CA 90048-5457 2015-04-23
1265782726 Kevin Valon Gruenberg Psychologist 6310 San Vicente Blvd Ste 415, Los Angeles, CA 90048-5457 2012-09-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083181572 Myriam Israily Behavior Technician 6310 San Vicente Blvd Ste 402, Los Angeles, CA 90048-5457 2018-11-01
1104486778 Romina Moradian Behavioral Analyst 6310 San Vicente Blvd Ste 402, Los Angeles, CA 90048-5457 2019-06-17
1619444171 Naomi Altschuler Behavior Technician 6310 San Vicente Blvd Ste 402, Los Angeles, CA 90048-5457 2018-11-01
1952879496 Nicole Ohana Behavior Technician 6310 San Vicente Blvd Ste 402, Los Angeles, CA 90048-5457 2018-11-02
1174545073 Mark H. Rossdanson Psychologist 6310 San Vicente Blvd, Ste 410, Los Angeles, CA 90048-5457 2006-07-23
1255809794 John Lim Behavior Technician 6310 San Vicente Blvd Ste 402, Los Angeles, CA 90048-5457 2018-11-02
1013485556 Rivky Kin Behavior Technician 6310 San Vicente Blvd Ste 402, Los Angeles, CA 90048-5457 2018-11-02
1699242180 Moshe Benjamin Behavior Technician 6310 San Vicente Blvd Ste 402, Los Angeles, CA 90048-5457 2018-11-01
1518435056 Temima Kramer Behavior Technician 6310 San Vicente Blvd Ste 402, Los Angeles, CA 90048-5457 2018-11-02
1144880030 Ana Mendez Behavior Technician 6310 San Vicente Blvd Ste 402, Los Angeles, CA 90048-5457 2019-06-13
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Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1154980829 Ryan Pham Student in an Organized Health Care Education/Training Program 8700 Beverly Blvd, Suite 5512, Los Angeles, CA 90048 2019-06-06
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
1851805048 West Hollywood Medical Group Inc General Practice 8733 Beverly Blvd Suite #203, West Hollywood, CA 90048 2017-11-27
1437641727 Medical Imaging Center of Southern California-Beverly Hills, Inc Radiology - Diagnostic Radiology 8727 Beverly Blvd, Los Angeles, CA 90048 2018-06-01
1205490299 Cindy Wong Dietitian, Registered 8723 Alden Drive, Ssb 213a, Los Angeles, CA 90048 2019-04-25
1235665480 Armita Sadeghi Student in an Organized Health Care Education/Training Program 8700 Beverly Blvd, Suite 5512, Los Angeles, CA 90048 2017-05-10
1609305093 Sharon Kwak Physical Therapist 6611 Orange Street #3, Los Angeles, CA 90048 2017-06-08
1689164121 Maulin Shah Student in an Organized Health Care Education/Training Program 8700 Beverly Blvd Suite 5512, Los Angeles, CA 90048 2018-05-10
1619483559 Sakeenah Hakim Social Worker - Clinical 292 S. La Cienega Blvd, Suite 102, Los Angeles, CA 90048 2017-12-14
1760090062 New Dawn Tms Psychiatry Clinic/Center - Adult Mental Health 640 S San Vincente Blvd, Ste. 210, Los Angeles, CA 90048 2020-07-22
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

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1992380083 Farhang Holakouee Counselor 11845 W Olympic Blvd # 820, Los Angeles, CA 90064-1149 2021-03-10
1194315663 Rita Burgos Counselor 454 N Avenue 56 # 1, Los Angeles, CA 90042-3335 2021-01-19
1215533138 Natalie Andrea Donis Counselor 1042 W 94th St Apt 1/4, Los Angeles, CA 90044-3269 2020-12-07
1952913055 Jose Islas Counselor 4396 1/2 Lovett St, Los Angeles, CA 90023-4117 2020-08-19
1154931491 Delia Maria Cortez Counselor 12133 Clarkson Rd, Los Angeles, CA 90064-3519 2020-08-02
1457974263 Simeon Simov Counselor 11845 W Olympic Blvd # 815e, Los Angeles, CA 90064-1149 2020-05-27
1780206524 Keisha Whitfield Counselor 1123 W 7th St # 25, Los Angeles, CA 90017-2409 2020-05-14
1467073965 Flowlab Inc Counselor 4528 Los Feliz Blvd, Los Angeles, CA 90027-2006 2020-05-06
1366061624 Elysian Psychology Inc Counselor 10250 Constellation Blvd, Los Angeles, CA 90067-6200 2020-04-15
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City LOS ANGELES
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Dataset Information

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.