Active NPI
Louanna Bernice Fonnegra, MA, LMFT
- Marriage & Family Therapist
- Castaic, CA
National Provider Identifier
1164948063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 112865
- Practice address
- 29960 Saguaro St
Castaic, CA 91384-3578 - Phone
- (818) 288-8744
- NPI assigned
- Aug 22, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 87341 | CA | |
| Marriage & Family Therapist | 106H00000X | 112865 | CA | Primary |
Addresses
Primary practice location
29960 Saguaro St
Castaic, CA 91384-3578
Mailing address
29960 Saguaro St
Castaic, CA 91384-3578
Phone (818) 288-8744
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 112865 | CA | MD | Marriage & Family Therapist |
| 87341 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1164948063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29960 SAGUARO ST",
"city": "CASTAIC",
"state": "CA",
"postal_code": "913843578",
"telephone_number": "818-288-8744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29960 SAGUARO ST",
"city": "CASTAIC",
"state": "CA",
"postal_code": "913843578",
"telephone_number": "818-288-8744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONNEGRA",
"first_name": "LOUANNA",
"middle_name": "BERNICE",
"credential": "MA, LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-22",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "87341",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "112865",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Castaic, CA
Sources for this page
- 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.