Individual provider Active NPI

Alan Ludington, M.DIV, M.S.

  • Marriage & Family Therapist
  • Westlake Village, CA
National Provider Identifier
1083834121
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC31680 Issued in CA
Practice address
875 S Westlake Blvd
Suite 211
Westlake Village, CA 91361-2902
Phone
(805) 494-8864
Fax
(805) 449-4376
NPI assigned
Apr 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 MFC31680 CA Primary

Addresses

Primary practice location

875 S Westlake Blvd
Suite 211
Westlake Village, CA 91361-2902

Mailing address

10300 Presilla Rd
Santa Rosa Valley, CA 93012-8226
Phone (805) 523-0445

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
MFC31680CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1177891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083834121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10300 PRESILLA RD",
            "city": "SANTA ROSA VALLEY",
            "state": "CA",
            "postal_code": "930128226",
            "telephone_number": "805-523-0445",
            "fax_number": "805-449-4376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 S WESTLAKE BLVD",
            "address_2": "SUITE 211",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913612902",
            "telephone_number": "805-494-8864",
            "fax_number": "805-449-4376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUDINGTON",
        "first_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "M.DIV, M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC31680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake Village, CA

Sources for this page

Verify at the official NPI Registry.