Active NPI
Melissa Nitsch
- Counselor
- Thousand Oaks, CA
National Provider Identifier
1114076072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 72 Moody CT
Thousand Oaks, CA 91360-6067 - Phone
- (805) 777-3523
- NPI assigned
- Jan 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | |||
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
72 Moody CT
Thousand Oaks, CA 91360-6067
Mailing address
144 S Catalina St
Ventura, CA 93001-3536
Phone (805) 415-4421
Other names 1
- Melissa White
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334188800000",
"number": "1114076072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "144 S CATALINA ST",
"city": "VENTURA",
"state": "CA",
"postal_code": "930013536",
"telephone_number": "805-415-4421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "72 MOODY CT",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913606067",
"telephone_number": "805-777-3523"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NITSCH",
"first_name": "MELISSA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-09",
"last_updated": "2012-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "WHITE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Thousand Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.