Active NPI
Michael Ian Pitts, AMFT
- Marriage & Family Therapist
- Encino, CA
National Provider Identifier
1376381970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 129435
- Practice address
- 17609 Ventura Blvd Ste 215
Encino, CA 91316-5126 - Phone
- (866) 818-4684
- NPI assigned
- Jul 17, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 129435 | CA | Primary |
Addresses
Primary practice location
17609 Ventura Blvd Ste 215
Encino, CA 91316-5126
Mailing address
24853 Parchman Ave
Newhall, CA 91321-3418
Phone (661) 219-3071
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
| License | State | Type | Specialty |
|---|---|---|---|
| 129435 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721174400000",
"number": "1376381970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24853 PARCHMAN AVE",
"city": "NEWHALL",
"state": "CA",
"postal_code": "913213418",
"telephone_number": "661-219-3071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17609 VENTURA BLVD STE 215",
"city": "ENCINO",
"state": "CA",
"postal_code": "913165126",
"telephone_number": "866-818-4684"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PITTS",
"first_name": "MICHAEL",
"middle_name": "IAN",
"credential": "AMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-07-17",
"last_updated": "2024-07-17",
"certification_date": "2024-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "129435",
"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 Jul 17, 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.