Active NPI
Aaron Kellogg
- Marriage & Family Therapist
- Sherman Oaks, CA
National Provider Identifier
1194313817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 129732
- Practice address
- 4521 Sherman Oaks Ave
Sherman Oaks, CA 91403-3807 - Phone
- (818) 849-6888
- NPI assigned
- Jan 7, 2021
- Sex
- Male
- Sole proprietor
- No
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 | |||
| Marriage & Family Therapist | 106H00000X | 129732 | CA | Primary |
Addresses
Primary practice location
4521 Sherman Oaks Ave
Sherman Oaks, CA 91403-3807
Mailing address
25011 Magic Mountain Pkwy Apt 114
Valencia, CA 91355-4677
Phone (661) 289-1354
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 129732 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663200000000",
"number": "1194313817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25011 MAGIC MOUNTAIN PKWY APT 114",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913554677",
"telephone_number": "661-289-1354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4521 SHERMAN OAKS AVE",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914033807",
"telephone_number": "818-849-6888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLOGG",
"first_name": "AARON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-01-07",
"last_updated": "2022-09-15",
"certification_date": "2022-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "129732",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sherman Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.