Individual provider Active NPI

Jane Marie Reardon, MA. MFT

  • Marriage & Family Therapist
  • West Hollywood, CA
National Provider Identifier
1265659270
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 43565 Issued in CA
Practice address
8235 Santa Monica Blvd
Suite 400
West Hollywood, CA 90046-5914
Phone
(323) 599-0243
Fax
(323) 871-1108
NPI assigned
Apr 19, 2007
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 MFC 43565 CA Primary

Addresses

Primary practice location

8235 Santa Monica Blvd
Suite 400
West Hollywood, CA 90046-5914

Mailing address

5860 Canyon CV
Los Angeles, CA 90068-3025
Phone (323) 599-0243

Other names 1

  • Jane Reardon Other 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
MFC 43565CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265659270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5860 CANYON CV",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900683025",
            "telephone_number": "323-599-0243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8235 SANTA MONICA BLVD",
            "address_2": "SUITE 400",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900465914",
            "telephone_number": "323-599-0243",
            "fax_number": "323-871-1108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REARDON",
        "first_name": "JANE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MA. MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 43565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANE",
            "last_name": "REARDON",
            "credential": "MA, MFT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in West Hollywood, 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.