Active NPI
Tracy Lan Chinn, MFT
- Marriage & Family Therapist
- Burbank, CA
National Provider Identifier
1093846594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 41376
- Practice address
- 601 S Glenoaks Blvd Ste 200
Burbank, CA 91502-2787 - Phone
- (310) 213-6430
- NPI assigned
- Mar 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 41376 | CA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
601 S Glenoaks Blvd Ste 200
Burbank, CA 91502-2787
Mailing address
PO Box 802316
Santa Clarita, CA 91380-2316
Phone (310) 213-6430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093846594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 802316",
"city": "SANTA CLARITA",
"state": "CA",
"postal_code": "913802316",
"telephone_number": "310-213-6430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 S GLENOAKS BLVD STE 200",
"city": "BURBANK",
"state": "CA",
"postal_code": "915022787",
"telephone_number": "310-213-6430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHINN",
"first_name": "TRACY",
"middle_name": "LAN",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "41376",
"primary": true
}
],
"identifiers": [],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.