Individual provider Active NPI

Jonathan William Eymann, LMFT

  • Marriage & Family Therapist
  • Camarillo, CA
National Provider Identifier
1245390970
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT47045 Issued in CA
Practice address
515 Village Commons Blvd
Camarillo, CA 93012-7759
Phone
(805) 451-4024
Fax
(805) 484-1219
NPI assigned
Dec 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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 LMFT47045 CA Primary

Addresses

Primary practice location

515 Village Commons Blvd
Camarillo, CA 93012-7759

Mailing address

515 Village Commons Blvd
Camarillo, CA 93012

Other practice location 1

7190 Hollister Ave
Goleta, CA 93117-2802
Phone (805) 451-4024

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
LMFT47045CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1245390970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 VILLAGE COMMONS BLVD",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "93012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 VILLAGE COMMONS BLVD",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930127759",
            "telephone_number": "805-451-4024",
            "fax_number": "805-484-1219"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7190 Hollister Ave",
            "address_purpose": "LOCATION",
            "city": "Goleta",
            "state": "CA",
            "postal_code": "931172802",
            "country_code": "US",
            "telephone_number": "805-451-4024",
            "fax_number": "805-968-8989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EYMANN",
        "first_name": "JONATHAN",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT47045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; 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.