Individual provider Active NPI

Suzannah G Ferron, LMFT

  • Marriage & Family Therapist
  • Sunland, CA
National Provider Identifier
1245878396
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC84622 Issued in CA
Practice address
9737 Shadow Island Drive
Sunland, CA 91040
Phone
(818) 381-9819
NPI assigned
Dec 18, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 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 MFC84622 CA Primary

Addresses

Primary practice location

9737 Shadow Island Drive
Sunland, CA 91040

Mailing address

1812 W Burbank Blvd # 5360
Burbank, CA 91506-1315
Phone (818) 381-9819

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFC84622CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1576627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1245878396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 W BURBANK BLVD # 5360",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915061315",
            "telephone_number": "818-381-9819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9737 SHADOW ISLAND DRIVE",
            "city": "SUNLAND",
            "state": "CA",
            "postal_code": "91040",
            "telephone_number": "818-381-9819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRON",
        "first_name": "SUZANNAH",
        "middle_name": "G",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-18",
        "last_updated": "2024-03-06",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC84622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunland, CA

Sources for this page

Verify at the official NPI Registry.