Individual provider Active NPI

Jonathan Metter, MA, LMFT

  • Marriage & Family Therapist
  • Encino, CA
National Provider Identifier
1083001838
Registry record updated Feb 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT89090 Issued in CA
Practice address
17337 Ventura Blvd
#327
Encino, CA 91316-3903
Phone
(818) 856-1136
NPI assigned
Apr 20, 2015
Last updated
Feb 5, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 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 MFT89090 CA Primary

Addresses

Primary practice location

17337 Ventura Blvd
#327
Encino, CA 91316-3903

Mailing address

125 Coulter Ave
Ardmore, PA 19003-2410
Phone (484) 222-3076

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
MFT89090CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580860800000",
    "number": "1083001838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 COULTER AVE",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "190032410",
            "telephone_number": "484-222-3076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17337 VENTURA BLVD",
            "address_2": "#327",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163903",
            "telephone_number": "818-856-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METTER",
        "first_name": "JONATHAN",
        "name_prefix": "Mr.",
        "credential": "MA, LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-20",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT89090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.