Individual provider Active NPI

Christine Harvell, MA, LMFT

  • Marriage & Family Therapist
  • Burbank, CA
National Provider Identifier
1063962694
Registry record updated Jun 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
109001 Issued in CA
Practice address
1201 S Victory Blvd Ste 104
Burbank, CA 91502-2552
Phone
(818) 686-5659
NPI assigned
Oct 6, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2020

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 109001 CA Primary

Addresses

Primary practice location

1201 S Victory Blvd Ste 104
Burbank, CA 91502-2552

Mailing address

4346 W Kling St
Burbank, CA 91505-3724
Phone (818) 686-5659

Other practice location 1

4405 W Riverside Dr
Suite 209
Burbank, CA 91505-4072
Phone (818) 858-0533

Other identifiers 1

IdentifierTypeStateIssuer
LMFT109001OtherCACALIFORNIA BOARD OF BEHAVIORAL SCIENCE/LICENSED MARRIAGE AND FAMILY THERAPIST

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
109001CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1475712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593129600000",
    "number": "1063962694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4346 W KLING ST",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915053724",
            "telephone_number": "818-686-5659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S VICTORY BLVD STE 104",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915022552",
            "telephone_number": "818-686-5659"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4405 W Riverside Dr",
            "address_2": "Suite 209",
            "address_purpose": "LOCATION",
            "city": "Burbank",
            "state": "CA",
            "postal_code": "915054072",
            "country_code": "US",
            "telephone_number": "818-858-0533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARVELL",
        "first_name": "CHRISTINE",
        "credential": "MA, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-06",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "109001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA BOARD OF BEHAVIORAL SCIENCE/LICENSED MARRIAGE AND FAMILY THERAPIST",
            "identifier": "LMFT109001",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2020; 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.