Active NPI
Lilia Guadalupe Tejeda-Frias
- Marriage & Family Therapist
- Canoga Park, CA
National Provider Identifier
1043722036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 125230
- Practice address
- 7038 Owensmouth Ave
Canoga Park, CA 91303-3198 - Phone
- (818) 898-0223
- Fax
- (818) 347-0506
- NPI assigned
- Oct 30, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 103235 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Marriage & Family Therapist | 106H00000X | 125230 | CA | Primary |
Addresses
Primary practice location
7038 Owensmouth Ave
Canoga Park, CA 91303-3198
Mailing address
15089 Marquette St
Moorpark, CA 93021-2505
Phone (805) 791-4295
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103235 | CA | MD | Mental Health Counselor |
| 125230 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617580800000",
"number": "1043722036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15089 MARQUETTE ST",
"city": "MOORPARK",
"state": "CA",
"postal_code": "930212505",
"telephone_number": "805-791-4295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7038 OWENSMOUTH AVE",
"city": "CANOGA PARK",
"state": "CA",
"postal_code": "913033198",
"telephone_number": "818-898-0223",
"fax_number": "818-347-0506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEJEDA-FRIAS",
"first_name": "LILIA",
"middle_name": "GUADALUPE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-30",
"last_updated": "2021-04-05",
"certification_date": "2021-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "103235",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "125230",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canoga Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.