Jonathan Gavin Porto, LMFT 150139

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

150139 Issued in CA

Practice address

1400 E Janss Rd
Thousand Oaks, CA 91362-2133

Phone

(805) 497-9511

NPI assigned

Sep 18, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Conejo Valley Unified School District

  • Local Education Agency (LEA)
  • Thousand Oaks, CA
  • NPI 1427236298
  NPD (past)

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

{
    "created_epoch": "1347926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1184974073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "567 W CHANNEL ISLANDS BLVD # 166",
            "city": "PORT HUENEME",
            "state": "CA",
            "postal_code": "930412133",
            "telephone_number": "805-512-6764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E JANSS RD",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913622133",
            "telephone_number": "805-497-9511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTO",
        "first_name": "JONATHAN",
        "middle_name": "GAVIN",
        "credential": "LMFT 150139",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-18",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "150139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Popp, N.P.
• Ronald A Popper, M.D. F.C.C.P.
• Corliss E. Porter, MFT
• Lindsee Porter
• Stephanie R Porter, NP
• Barbara Lynn Porush, MFT
• Robin Joseph Pottukalam, D.P.T.
• Leili Pourafkari
• Zahra Pournabavi
• Neda Pourrahimi, DDS

• Marriage & Family Therapist in Thousand Oaks, CA
• Providers in Thousand Oaks, 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 Jan 21, 2025; 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.