Individual provider Active NPI

Eden Ayson Sarreal, LPCC, AMFT

  • Professional Counselor
  • Thousand Oaks, CA
National Provider Identifier
1265210603
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
22496 Issued in CA
Practice address
125 W Thousand Oaks Blvd Ste 600
Thousand Oaks, CA 91360-4463
Phone
(805) 777-3505
NPI assigned
Sep 18, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 22496 CA Primary
Marriage & Family Therapist 106H00000X 134286 CA

Addresses

Primary practice location

125 W Thousand Oaks Blvd Ste 600
Thousand Oaks, CA 91360-4463

Mailing address

125 W Thousand Oaks Blvd Ste 600
Thousand Oaks, CA 91360-4463

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
134286CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
County of Ventura CurrentSince Sep 24, 2023 Accepting new patients
County of Ventura PastSince Sep 24, 2023 Accepting new patients

Locations

125 W Thousand Oaks Blvd
Ste 600
Thousand Oaks, CA 91360
Phone (805) 777-3500

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1265210603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 W THOUSAND OAKS BLVD STE 600",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913604463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W THOUSAND OAKS BLVD STE 600",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913604463",
            "telephone_number": "805-777-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARREAL",
        "first_name": "EDEN",
        "middle_name": "AYSON",
        "credential": "LPCC, AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-18",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "22496",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "134286",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; 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.