Individual provider Active NPI

Alyshia Marcelletti, AMFT. APCC, NDTR

  • Marriage & Family Therapist
  • Encino, CA
National Provider Identifier
1376255992
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
147455 Issued in CA
Practice address
17609 Ventura Blvd Ste 302
Encino, CA 91316-5128
Phone
(310) 494-6241
NPI assigned
Dec 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X R1491751222 CA
Marriage & Family Therapist 106H00000X 147455 CA Primary

Addresses

Primary practice location

17609 Ventura Blvd Ste 302
Encino, CA 91316-5128

Mailing address

2717 S Robertson Blvd
Los Angeles, CA 90034-2442
Phone (323) 334-0937

Other practice location 1

2717 S Robertson Blvd
Los Angeles, CA 90034-2442
Phone (323) 334-0937

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
R1491751222CAMDAddiction (Substance Use Disorder) Counselor
147455CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aligned Behavioral Health, LLC CurrentSince May 11, 2025 Accepting new patients

Locations

17609 Ventura Blvd
Ste 302
Encino, CA 91316
Phone (310) 402-3775

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": "1670976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1376255992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 S ROBERTSON BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900342442",
            "telephone_number": "323-334-0937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17609 VENTURA BLVD STE 302",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913165128",
            "telephone_number": "310-494-6241"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2717 S Robertson Blvd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900342442",
            "country_code": "US",
            "telephone_number": "323-334-0937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARCELLETTI",
        "first_name": "ALYSHIA",
        "credential": "AMFT. APCC, NDTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-14",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "R1491751222",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "147455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.