Individual provider Active NPI

Edden Elite Ered, MS, LMFT

  • Marriage & Family Therapist
  • Westlake Village, CA
National Provider Identifier
1174282883
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
153502
Practice address
30941 Agoura Rd Ste 110
Westlake Village, CA 91361-4645
Phone
(818) 857-9405
NPI assigned
Dec 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

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 153502 Primary

Addresses

Primary practice location

30941 Agoura Rd Ste 110
Westlake Village, CA 91361-4645

Mailing address

30941 Agoura Rd Ste 110
Westlake Village, CA 91361-4645
Phone (818) 857-9405

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 9, 2025 through Jul 9, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1639008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1174282883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30941 AGOURA RD STE 110",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913614645",
            "telephone_number": "818-857-9405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30941 AGOURA RD STE 110",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913614645",
            "telephone_number": "818-857-9405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERED",
        "first_name": "EDDEN",
        "middle_name": "ELITE",
        "credential": "MS, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-09",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": "153502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake Village, CA

Sources for this page

Verify at the official NPI Registry.