Lakeside Family Counseling & Intervention Services

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

108676 Issued in CA

Legal business name

LAKESIDE FAMILY COUNSELING & INTERVENTION SERVICES

Practice address

1500 Palma Dr
Ventura, CA 93003-6451

Phone

(805) 289-1500

Fax

(805) 289-1511

NPI assigned

Sep 9, 2018

Organization subpart

No

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

Authorized official

Name

Heidi Renee Johnson, LMFTNPI 1811355464

Title

President

Phone

(805) 575-2559

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Heidi Renee Johnson, LMFT

  • Marriage & Family Therapist
  • Ventura, CA
  • NPI 1811355464
  NPD Authorized official
• Judy Marquez, AMFT

  • Marriage & Family Therapist
  • Ventura, CA
  • NPI 1942773759
  NPD

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

{
    "created_epoch": "1536451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569628800000",
    "number": "1174006985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 PALMA DR",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930036451",
            "telephone_number": "805-289-1500",
            "fax_number": "805-289-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 PALMA DR",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930036451",
            "telephone_number": "805-289-1500",
            "fax_number": "805-289-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE FAMILY COUNSELING & INTERVENTION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-09",
        "last_updated": "2019-09-28",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-575-2559",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "108676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie M Ladine, M.D.
• Dominique Lafleur, D.C
• Michael Lager, M.D.
• Lags Spine and Sportscare Medical Centers, Inc.
• Daisy Lajoie, LVN
• Christine Lam, DO
• Kin Shing Lam, PHARM.D.
• Cheryl Lambing, M.D.
• Jonathan Lamee, MD
• Matthew Lamon, DO

• Marriage & Family Therapist in Ventura, CA
• Providers in Ventura, 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 Sep 28, 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.

Verify at the official NPI Registry.