Organization Active NPI

Sheree Jones-Pistol, a Marriage and Family Therapy Corporation

  • Marriage & Family Therapist
  • Northridge, CA
National Provider Identifier
1184045403
Registry record updated Jul 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC36905 Issued in CA
Legal business name
SHEREE JONES-PISTOL, A MARRIAGE AND FAMILY THERAPY CORPORATION
Practice address
9003 Reseda Boulevard
Suite 206
Northridge, CA 91324-3961
Phone
(818) 705-5652
Fax
(818) 705-7876
NPI assigned
Jan 5, 2014
Last updated
Jul 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2022

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

Authorized official

Name
Ms. Sheree Lynne Jones-Pistol, LMFTNPI 1992953475
Title
President/Ceo
Phone
(818) 705-5652

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC36905 CA Primary

Addresses

Primary practice location

9003 Reseda Boulevard
Suite 206
Northridge, CA 91324-3961

Mailing address

18375 Ventura Boulevard
Suite 309
Tarzana, CA 91356-4218
Phone (818) 705-5652

Other identifiers 1

IdentifierTypeStateIssuer
1992953475OtherCANPPES

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240614001153 CA Part B Supplier - Clinic/Group Practice 8729521018 Receives reassigned benefits from 1 practitioner
Practice locations: Northridge, CA

National Provider Directory

National Provider Directory

Locations

9003 Reseda Blvd
Ste 206
Northridge, CA 91324
Phone (818) 231-8763

14622 Victory Blvd
Fl Second
Van Nuys, CA 91411

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1388880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657843200000",
    "number": "1184045403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18375 VENTURA BOULEVARD",
            "address_2": "SUITE 309",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564218",
            "telephone_number": "818-705-5652",
            "fax_number": "818-715-7876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9003 RESEDA BOULEVARD",
            "address_2": "SUITE 206",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913243961",
            "telephone_number": "818-705-5652",
            "fax_number": "818-705-7876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEREE JONES-PISTOL, A MARRIAGE AND FAMILY THERAPY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-05",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A",
        "authorized_official_last_name": "JONES-PISTOL",
        "authorized_official_first_name": "SHEREE",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "818-705-5652",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC36905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1992953475",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.