Individual provider Active NPI

Marsha Gay Izen, MFT

  • Marriage & Family Therapist
  • Thousand Oaks, CA
National Provider Identifier
1376740704
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC20141 Issued in CA
Practice address
325 E Hillcrest Dr Ste 115
Thousand Oaks, CA 91360-7782
Phone
(805) 795-1775
Fax
(818) 225-9761
NPI assigned
Jun 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 MFC20141 CA Primary

Addresses

Primary practice location

325 E Hillcrest Dr Ste 115
Thousand Oaks, CA 91360-7782

Mailing address

325 E Hillcrest Dr Ste 115
Thousand Oaks, CA 91360-7782
Phone (805) 795-1775

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
MFC20141CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376740704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 E HILLCREST DR STE 115",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913607782",
            "telephone_number": "805-795-1775",
            "fax_number": "818-225-9761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 E HILLCREST DR STE 115",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913607782",
            "telephone_number": "805-795-1775",
            "fax_number": "818-225-9761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IZEN",
        "first_name": "MARSHA",
        "middle_name": "GAY",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC20141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.