Stephanie Groom, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

80868 Issued in CA

Practice address

11712 Moorpark St Ste 210
Studio City, CA 91604-2164

Phone

(818) 308-6142

Fax

(818) 308-6142

NPI assigned

Mar 14, 2007

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1154454254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11712 MOORPARK ST STE 210",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916042164",
            "telephone_number": "818-308-6142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11712 MOORPARK ST STE 210",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916042164",
            "telephone_number": "818-308-6142",
            "fax_number": "818-308-6142"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14545 SHERMAN CIRCLE",
            "address_purpose": "LOCATION",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "91405",
            "country_code": "US",
            "telephone_number": "818-901-4854",
            "fax_number": "818-908-4995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROOM",
        "first_name": "STEPHANIE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "80868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Studio City, CA
• Providers in Studio City, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.