Active NPI
Christine Harvell, MA, LMFT
- Marriage & Family Therapist
- Burbank, CA
National Provider Identifier
1063962694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 109001
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LMFT109001 | Other | CA | CALIFORNIA 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
| License | State | Type | Specialty |
|---|---|---|---|
| 109001 | CA | MD | Dentist |
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.