Active NPI
Luminous Clarity Family Therapy, Inc
- Community/Behavioral Health Agency
- Westlake Village, CA
National Provider Identifier
1154899581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- LUMINOUS CLARITY FAMILY THERAPY, INC
- Practice address
- 3717 E Thousand Oaks Blvd Ste 310
Westlake Village, CA 91362-3607 - Phone
- (805) 267-1869
- NPI assigned
- Nov 3, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Brittney Henderson, LMFT
- Title
- Founder/Ceo
- Phone
- (310) 697-6264
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
3717 E Thousand Oaks Blvd Ste 310
Westlake Village, CA 91362-3607
Mailing address
3717 E Thousand Oaks Blvd Ste 310
Westlake Village, CA 91362-3607
Phone (805) 267-1869
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356823801 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
3717 E Thousand Oaks Blvd
Ste 310
Westlake Village, CA 91362
Phone (805) 267-1869
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541203200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1560211200000",
"number": "1154899581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3717 E THOUSAND OAKS BLVD STE 310",
"city": "WESTLAKE VILLAGE",
"state": "CA",
"postal_code": "913623607",
"telephone_number": "805-267-1869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3717 E THOUSAND OAKS BLVD STE 310",
"city": "WESTLAKE VILLAGE",
"state": "CA",
"postal_code": "913623607",
"telephone_number": "805-267-1869"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUMINOUS CLARITY FAMILY THERAPY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2018-11-03",
"last_updated": "2019-06-11",
"status": "A",
"authorized_official_last_name": "HENDERSON",
"authorized_official_first_name": "BRITTNEY",
"authorized_official_title_or_position": "FOUNDER/CEO",
"authorized_official_telephone_number": "310-697-6264",
"authorized_official_name_prefix": "Miss",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1356823801",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Westlake Village, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.