Individual provider Active NPI

Alicia Anne Stone, MFT

  • Marriage & Family Therapist
  • Granada Hills, CA
National Provider Identifier
1215019807
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC39971 Issued in CA
Practice address
17939 Chatsworth St
#275
Granada Hills, CA 91344-5606
Phone
(818) 516-6584
Fax
(818) 993-7249
NPI assigned
Oct 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 MFC39971 CA Primary

Addresses

Primary practice location

17939 Chatsworth St
#275
Granada Hills, CA 91344-5606

Mailing address

17939 Chatsworth St
#275
Granada Hills, CA 91344-5606
Phone (818) 516-6584

Other identifiers 1

IdentifierTypeStateIssuer
EPSO13470OtherCAMEDI-CAL PROVIDER

Other names 1

  • Miss Alicia Anne Kohn Former name

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

LicenseStateTypeSpecialty
MFC39971CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215019807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17939 CHATSWORTH ST",
            "address_2": "#275",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913445606",
            "telephone_number": "818-516-6584",
            "fax_number": "818-993-7249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17939 CHATSWORTH ST",
            "address_2": "#275",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913445606",
            "telephone_number": "818-516-6584",
            "fax_number": "818-993-7249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONE",
        "first_name": "ALICIA",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC39971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL PROVIDER",
            "identifier": "EPSO13470",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICIA",
            "last_name": "KOHN",
            "middle_name": "ANNE",
            "prefix": "MISS",
            "credential": "MFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Granada Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.