Individual provider Active NPI

Adam Bennett, MA, AMFT

  • Marriage & Family Therapist
  • Sherman Oaks, CA
National Provider Identifier
1306643994
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
152765 Issued in CA
Practice address
4401 Sepulveda Blvd Unit 210
Sherman Oaks, CA 91403-3934
Phone
(424) 218-9880
NPI assigned
Feb 28, 2025
Last updated
Mar 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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 152765 CA Primary

Addresses

Primary practice location

4401 Sepulveda Blvd Unit 210
Sherman Oaks, CA 91403-3934

Mailing address

16911 San Fernando Mission Blvd # 153
Granada Hills, CA 91344-4250
Phone (805) 253-3809

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 Arts

State licenses

LicenseStateTypeSpecialty
152765CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Therapy Group, a Marriage and Family Therapy Corporation Marriage & Family Therapist CurrentSince Mar 11, 2025 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1740700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1306643994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16911 SAN FERNANDO MISSION BLVD # 153",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913444250",
            "telephone_number": "805-253-3809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 SEPULVEDA BLVD UNIT 210",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033934",
            "telephone_number": "424-218-9880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "ADAM",
        "credential": "MA, AMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-28",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "152765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 4, 2025; 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.