Individual provider Active NPI

Philip Jonathan Kufek, LMFT

  • Marriage & Family Therapist
  • Thousand Oaks, CA
National Provider Identifier
1154924439
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
139081 Issued in CA
Practice address
280 E Thousand Oaks Blvd Ste D
Thousand Oaks, CA 91360-7762
Phone
(805) 341-5737
NPI assigned
Nov 18, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

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 139081 CA Primary

Addresses

Primary practice location

280 E Thousand Oaks Blvd Ste D
Thousand Oaks, CA 91360-7762

Mailing address

14900 Magnolia Blvd
PO Box 5552
Sherman Oaks, CA 91403-1330

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
139081CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1154924439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14900 MAGNOLIA BLVD",
            "address_2": "PO BOX 5552",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 E THOUSAND OAKS BLVD STE D",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913607762",
            "telephone_number": "805-341-5737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUFEK",
        "first_name": "PHILIP",
        "middle_name": "JONATHAN",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-18",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "139081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; 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.