Individual provider Active NPI

Susan Elaine Margotta, LMFT

  • Marriage & Family Therapist
  • Valencia, CA
National Provider Identifier
1134626179
Registry record updated Apr 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT14790 Issued in CA
Practice address
25000 Avenue Stanford Ste 104
Valencia, CA 91355-1224
Phone
(818) 600-2034
Fax
(661) 667-4477
NPI assigned
Apr 6, 2018
Last updated
Apr 6, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X MFT14790 CA Primary

Addresses

Primary practice location

25000 Avenue Stanford Ste 104
Valencia, CA 91355-1224

Mailing address

22565 Honnold Dr
Santa Clarita, CA 91350-3605
Phone (661) 644-4166

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
MFT14790CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
New U Therapy Center & Family Services Inc. Past 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1522972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522972800000",
    "number": "1134626179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22565 HONNOLD DR",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913503605",
            "telephone_number": "661-644-4166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25000 AVENUE STANFORD STE 104",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913551224",
            "telephone_number": "818-600-2034",
            "fax_number": "661-667-4477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARGOTTA",
        "first_name": "SUSAN",
        "middle_name": "ELAINE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-06",
        "last_updated": "2018-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT14790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valencia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.