Individual provider Active NPI

Susan Ho Berzon, MS

  • Marriage & Family Therapist
  • Huntington Beach, CA
National Provider Identifier
1295293595
Registry record updated Mar 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT111789 Issued in CA
Practice address
19900 Beach Blvd Ste H
Huntington Beach, CA 92648-3762
Phone
(877) 538-4133
NPI assigned
Mar 5, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2019

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 LMFT111789 CA Primary

Addresses

Primary practice location

19900 Beach Blvd Ste H
Huntington Beach, CA 92648-3762

Mailing address

11423 187TH St Ste 200
Artesia, CA 90701-5657
Phone (877) 538-4133

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LMFT111789CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sanjai Thankachen PA Past Accepting new patients
Alternative Options Counseling Center, Inc. Marriage & Family Therapist Past Accepting new patients
Alternative Options Counseling Center, Inc. PastSince Jan 24, 2021 Accepting new patients

Organizations & group practices 3

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": "1551744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551744000000",
    "number": "1295293595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11423 187TH ST STE 200",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907015657",
            "telephone_number": "877-538-4133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19900 BEACH BLVD STE H",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926483762",
            "telephone_number": "877-538-4133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERZON",
        "first_name": "SUSAN",
        "middle_name": "HO",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-05",
        "last_updated": "2019-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT111789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.

Verify at the official NPI Registry.