NPIMap

Organization Active NPI

New Leaf Marriage & Family Therapy, Inc.

  • Marriage & Family Therapist
  • Simi Valley, CA
National Provider Identifier
1013647023
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
NEW LEAF MARRIAGE & FAMILY THERAPY, INC.
Practice address
2489 Tapo St Ste B
Simi Valley, CA 93063-2453
Phone
(805) 774-1506
NPI assigned
Jun 13, 2022
Last updated
Jan 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Natalie Anne Bologna, LMFTNPI 1376272146
Title
Company President
Phone
(805) 774-1506

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X NU Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU

Addresses

Primary practice location

2489 Tapo St Ste B
Simi Valley, CA 93063-2453

Mailing address

2489 Tapo St Ste B
Simi Valley, CA 93063-2453
Phone (805) 774-1506

Other identifiers 5

IdentifierTypeStateIssuer
1275184525OtherNPI
1316798069OtherNPI
1326512815OtherNPI
1376272146OtherNPI
1497486807OtherNPI

National Provider Directory

National Provider Directory

Locations

2489 Tapo St
#B
Simi Valley, CA 93063
Phone (805) 368-4250

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736380800000",
    "number": "1013647023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2489 TAPO ST STE B",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930632453",
            "telephone_number": "805-774-1506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2489 TAPO ST STE B",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930632453",
            "telephone_number": "805-774-1506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LEAF MARRIAGE & FAMILY THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-13",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A",
        "authorized_official_last_name": "BOLOGNA",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "COMPANY PRESIDENT",
        "authorized_official_telephone_number": "805-774-1506",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1275184525",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1316798069",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1326512815",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1376272146",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1497486807",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.