Individual provider Active NPI

Nicholas James Vetter, L.M.F.T.

  • Marriage & Family Therapist
  • San Fernando, CA
National Provider Identifier
1326170499
Registry record updated Apr 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
48867 Issued in CA
Practice address
11565 Laurel Canyon Blvd Ste 101
San Fernando, CA 91340-4649
Phone
(818) 838-1352
Fax
(818) 838-1362
NPI assigned
Mar 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2018

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 48867 CA Primary

Addresses

Primary practice location

11565 Laurel Canyon Blvd Ste 101
San Fernando, CA 91340-4649

Mailing address

17508 Nordhoff St
Northridge, CA 91325-2903
Phone (818) 838-0779

Other practice location 1

10646 Zelzah Ave Ste 207
Granada Hills, CA 91344-5959
Phone (818) 835-0779

Other names 1

  • Mr. Nick Vetter 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
48867CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525046400000",
    "number": "1326170499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17508 NORDHOFF ST",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913252903",
            "telephone_number": "818-838-0779",
            "fax_number": "818-886-5664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11565 LAUREL CANYON BLVD STE 101",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913404649",
            "telephone_number": "818-838-1352",
            "fax_number": "818-838-1362"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10646 Zelzah Ave Ste 207",
            "address_purpose": "LOCATION",
            "city": "Granada Hills",
            "state": "CA",
            "postal_code": "913445959",
            "country_code": "US",
            "telephone_number": "818-835-0779",
            "fax_number": "818-886-5664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VETTER",
        "first_name": "NICHOLAS",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "L.M.F.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2018-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "48867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICK",
            "last_name": "VETTER",
            "prefix": "MR.",
            "credential": "M.F.T.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Fernando, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.

Verify at the official NPI Registry.