Individual provider Active NPI

Michele B White, MFT-INTERN

  • Marriage & Family Therapist
  • North Hollywood, CA
National Provider Identifier
1114164050
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT114079 Issued in CA
Practice address
6736 Laurel Canyon Blvd
Suite 200
North Hollywood, CA 91606-1538
Phone
(818) 755-8786
Fax
(818) 824-9996
NPI assigned
Jan 14, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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 LMFT114079 CA Primary

Addresses

Primary practice location

6736 Laurel Canyon Blvd
Suite 200
North Hollywood, CA 91606-1538

Mailing address

4804 Laurel Canyon Blvd # 336
Valley Village, CA 91607-3717
Phone (323) 364-2623

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

State licenses

LicenseStateTypeSpecialty
LMFT114079CAMDMarriage & Family Therapist

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.michelewhite@148377.advancedmd-direct.com

NPI Registry JSON

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

{
    "created_epoch": "1231891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1114164050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4804 LAUREL CANYON BLVD # 336",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916073717",
            "telephone_number": "323-364-2623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6736 LAUREL CANYON BLVD",
            "address_2": "SUITE 200",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916061538",
            "telephone_number": "818-755-8786",
            "fax_number": "818-824-9996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "MICHELE",
        "middle_name": "B",
        "name_prefix": "Ms.",
        "credential": "MFT-INTERN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-14",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT114079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.