Individual provider Active NPI

Veneill Elena Latham

  • Marriage & Family Therapist
  • Van Nuys, CA
National Provider Identifier
1114416427
Registry record updated May 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
104860 Issued in CA
Practice address
14000 Valerio St
Van Nuys, CA 91405-2533
Phone
(747) 998-5627
NPI assigned
May 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2018

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 104860 CA Primary

Addresses

Primary practice location

14000 Valerio St
Van Nuys, CA 91405-2533

Mailing address

7349 Baird Ave
Reseda, CA 91335-3066
Phone (747) 998-5627

Other practice location 1

17777 Ventura Blvd Ste 103
Encino, CA 91316-3738
Phone (310) 953-7177

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
104860CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Vita Behavioral Health Inc PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1525219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525219200000",
    "number": "1114416427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7349 BAIRD AVE",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913353066",
            "telephone_number": "747-998-5627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14000 VALERIO ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914052533",
            "telephone_number": "747-998-5627"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17777 Ventura Blvd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Encino",
            "state": "CA",
            "postal_code": "913163738",
            "country_code": "US",
            "telephone_number": "310-953-7177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LATHAM",
        "first_name": "VENEILL",
        "middle_name": "ELENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-02",
        "last_updated": "2018-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "104860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2018; 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.