Active NPI
Jessica Lauren Whitehead, LMFT
- Marriage & Family Therapist
- Sherman Oaks, CA
National Provider Identifier
1285997866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 97233
- Practice address
- 4419 Van Nuys Blvd Ste 406
Sherman Oaks, CA 91403-5743 - Phone
- (818) 406-6327
- NPI assigned
- Jun 19, 2012
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 97233 | CA | |
| Mental Health Counselor | 101YM0800X | |||
| Marriage & Family Therapist | 106H00000X | 97233 | CA | Primary |
Addresses
Primary practice location
4419 Van Nuys Blvd Ste 406
Sherman Oaks, CA 91403-5743
Mailing address
PO Box 431
Woodland Hills, CA 91365-0431
Other practice location 1
3605 Vista Way
258
Oceanside, CA 92056-4565
Phone (760) 758-1480
Other names 1
- Jessica Schneider
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 |
|---|---|---|---|
| 97233 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1285997866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 431",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913650431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4419 VAN NUYS BLVD STE 406",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914035743",
"telephone_number": "818-406-6327"
}
],
"practiceLocations": [
{
"address_1": "3605 Vista Way",
"address_2": "258",
"address_purpose": "LOCATION",
"city": "Oceanside",
"state": "CA",
"postal_code": "920564565",
"country_code": "US",
"telephone_number": "760-758-1480",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHITEHEAD",
"first_name": "JESSICA",
"middle_name": "LAUREN",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-19",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "97233",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "97233",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "SCHNEIDER",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Sherman Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.