Individual provider Active NPI

Alan Ellsweig, LMFT

  • Marriage & Family Therapist
  • Sherman Oaks, CA
National Provider Identifier
1124407002
Registry record updated May 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
85850 Issued in CA
Practice address
15300 Ventura Blvd Ste 509
Sherman Oaks, CA 91403-3103
Phone
(310) 508-6727
NPI assigned
May 25, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2015

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 85850 CA Primary

Addresses

Primary practice location

15300 Ventura Blvd Ste 509
Sherman Oaks, CA 91403-3103

Mailing address

15300 Ventura Blvd Ste 509
Sherman Oaks, CA 91403-3103
Phone (310) 508-6727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250304003859 CA Practitioner - Marriage and Family Therapist 7113448341 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
85850CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Treatment Center, a Marriage and Family Therapy Corporation Marriage & Family Therapist CurrentSince Jan 21, 2025 Accepting new patients
Cornerstone Therapy Group a Marriage and Family Therapy Corpor Marriage & Family Therapist CurrentSince Feb 22, 2026 Accepting new patients

Locations

10200 Sepulveda Blvd
Ste 180
Mission Hills, CA 91345
Phone (818) 621-1664

15233 Ventura Blvd
Ste 316
Sherman Oaks, CA 91403
Phone (310) 508-6727

Organizations & group practices 2

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": "1432512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432512000000",
    "number": "1124407002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15300 VENTURA BLVD STE 509",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033103",
            "telephone_number": "310-508-6727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15300 VENTURA BLVD STE 509",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033103",
            "telephone_number": "310-508-6727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLSWEIG",
        "first_name": "ALAN",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-25",
        "last_updated": "2015-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "85850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

Verify at the official NPI Registry.