Individual provider Active NPI

Jeffrey Steffon, LMFT

  • Marriage & Family Therapist
  • Encino, CA
National Provider Identifier
1063558302
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC37726 Issued in CA
Practice address
6345 Balboa Blvd
Suite 212
Encino, CA 91316-1519
Phone
(818) 776-9188
Fax
(818) 776-0312
NPI assigned
Jan 30, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC37726 CA Primary

Addresses

Primary practice location

6345 Balboa Blvd
Suite 212
Encino, CA 91316-1519

Mailing address

6345 Balboa Blvd
Suite 212
Encino, CA 91316-1519
Phone (818) 776-9188

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 7, 2024 through Jan 7, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFC37726CAMDMarriage & Family Therapist
37726CAMDLicensed Psychiatric Technician

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12972/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063558302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6345 BALBOA BLVD",
            "address_2": "SUITE 212",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913161519",
            "telephone_number": "818-776-9188",
            "fax_number": "818-776-0312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6345 BALBOA BLVD",
            "address_2": "SUITE 212",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913161519",
            "telephone_number": "818-776-9188",
            "fax_number": "818-776-0312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEFFON",
        "first_name": "JEFFREY",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC37726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

Verify at the official NPI Registry.