Individual provider Active NPI

Jordan Kirschner, L.M.F.T.

  • Marriage & Family Therapist
  • Sherman Oaks, CA
National Provider Identifier
1073867396
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC52266 Issued in CA
Practice address
13400 Riverside Dr Ste 318
Sherman Oaks, CA 91423-2501
Phone
(818) 271-8483
Fax
(818) 301-2394
NPI assigned
Nov 8, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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 MFC52266 CA Primary

Addresses

Primary practice location

13400 Riverside Dr Ste 318
Sherman Oaks, CA 91423-2501

Mailing address

13400 Riverside Dr Ste 318
Sherman Oaks, CA 91423-2501
Phone (818) 271-8483

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240610003611 CA Practitioner - Marriage and Family Therapist 3375085095 Practice locations: Sherman Oaks, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFC52266CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1352332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1073867396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13400 RIVERSIDE DR STE 318",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914232501",
            "telephone_number": "818-271-8483",
            "fax_number": "818-301-2394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13400 RIVERSIDE DR STE 318",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914232501",
            "telephone_number": "818-271-8483",
            "fax_number": "818-301-2394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRSCHNER",
        "first_name": "JORDAN",
        "name_prefix": "Mr.",
        "credential": "L.M.F.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-08",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC52266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

Verify at the official NPI Registry.