Active NPI
Jennifer Vitanza
- Marriage & Family Therapist
- Woodland Hills, CA
National Provider Identifier
1245875939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 113363
- Practice address
- 5353 Topanga Canyon Blvd Ste 209
Woodland Hills, CA 91364-1738 - Phone
- (818) 379-3340
- NPI assigned
- Nov 17, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 113363 | CA | Primary |
Addresses
Primary practice location
5353 Topanga Canyon Blvd Ste 209
Woodland Hills, CA 91364-1738
Mailing address
8752 Whitaker Ave
Northridge, CA 91343-4508
Phone (818) 624-8887
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 |
|---|---|---|---|
| 113363 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Social Coaching Club Inc. | Marriage & Family Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Marriage & Family Therapist
- Woodland Hills, CA
- NPI 1144639253
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573948800000",
"number": "1245875939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8752 WHITAKER AVE",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913434508",
"telephone_number": "818-624-8887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5353 TOPANGA CANYON BLVD STE 209",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913641738",
"telephone_number": "818-379-3340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VITANZA",
"first_name": "JENNIFER",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-17",
"last_updated": "2019-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "113363",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodland Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.