Eleanor Mac, ASW-REGISTERED

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

ASW68575 Issued in CA

Practice address

15400 Sherman Way Ste 220
Van Nuys, CA 91406-7403

Phone

(818) 267-1100

Fax

(818) 267-1199

NPI assigned

Feb 17, 2009

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": "1234828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446681600000",
    "number": "1154560068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15400 SHERMAN WAY STE 220",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914067403",
            "telephone_number": "818-267-1100",
            "fax_number": "818-267-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15400 SHERMAN WAY STE 220",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914067403",
            "telephone_number": "818-267-1100",
            "fax_number": "818-267-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAC",
        "first_name": "ELEANOR",
        "credential": "ASW-REGISTERED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-17",
        "last_updated": "2015-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "ASW68575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; 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.