Individual provider Active NPI

Daren Elise Willis, LMFT

  • Marriage & Family Therapist
  • Mission Hills, CA
National Provider Identifier
1306104286
Registry record updated Feb 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC51214 Issued in CA
Practice address
10200 Sepulveda Blvd Ste 180
Mission Hills, CA 91345-2654
Phone
(818) 672-6338
Fax
(818) 698-6555
NPI assigned
Apr 27, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 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 MFC51214 CA Primary

Addresses

Primary practice location

10200 Sepulveda Blvd Ste 180
Mission Hills, CA 91345-2654

Mailing address

10200 Sepulveda Blvd Ste 180
Mission Hills, CA 91345-2654
Phone (818) 601-0489

Other names 1

  • Ms. Daren Elise Lawe Professional 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
MFC51214CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Treatment Center, a Marriage and Family Therapy Corporation Marriage & Family Therapist PastSince Jan 1, 2017 Accepting new patients

Organizations & group practices 1

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": "1335484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550188800000",
    "number": "1306104286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 SEPULVEDA BLVD STE 180",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913452654",
            "telephone_number": "818-601-0489",
            "fax_number": "818-698-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 SEPULVEDA BLVD STE 180",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913452654",
            "telephone_number": "818-672-6338",
            "fax_number": "818-698-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "DAREN",
        "middle_name": "ELISE",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-27",
        "last_updated": "2019-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC51214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAREN",
            "last_name": "LAWE",
            "middle_name": "ELISE",
            "prefix": "MS.",
            "credential": "LMFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Mission Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.