Individual provider Active NPI

Elizabeth P. Irias, LMFT

  • Marriage & Family Therapist
  • Westlake VLG, CA
National Provider Identifier
1134490360
Registry record updated Apr 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
68895 Issued in CA
Practice address
5743 Corsa Ave
Suite 112
Westlake VLG, CA 91362-4027
Phone
(805) 996-0604
NPI assigned
Jan 19, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2016

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 68895 CA Primary

Addresses

Primary practice location

5743 Corsa Ave
Suite 112
Westlake VLG, CA 91362-4027

Mailing address

5743 Corsa Ave
Suite 112
Westlake Village, CA 91362-4027
Phone (805) 996-0604

Other names 1

  • Ms. Elizabeth A. Peterson Former name

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
68895CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1326931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460937600000",
    "number": "1134490360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5743 CORSA AVE",
            "address_2": "SUITE 112",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913624027",
            "telephone_number": "805-996-0604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5743 CORSA AVE",
            "address_2": "SUITE 112",
            "city": "WESTLAKE VLG",
            "state": "CA",
            "postal_code": "913624027",
            "telephone_number": "805-996-0604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRIAS",
        "first_name": "ELIZABETH",
        "middle_name": "P.",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-19",
        "last_updated": "2016-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "68895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "PETERSON",
            "middle_name": "A.",
            "prefix": "MS.",
            "credential": "MS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Westlake VLG, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2016; 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.