Michelle Corenne Samuelson, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

51738 Issued in CA

Practice address

1446 Calle Violeta
Thousand Oaks, CA 91360-6735

Phone

(757) 805-3409

NPI assigned

Mar 15, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Michelle Corenne Scales/ Sanders Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1386778751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3435 E THOUSAND OAKS BLVD UNIT 7814",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913598054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1446 CALLE VIOLETA",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913606735",
            "telephone_number": "757-805-3409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUELSON",
        "first_name": "MICHELLE",
        "middle_name": "CORENNE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "51738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "SCALES/ SANDERS",
            "middle_name": "CORENNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Siamac Alexander Salehy, M.D.
• Rachael Athenia Krager Salin, AUD
• Arian Salupen
• Parisa Samii, LMFT
• Jacob Samples
• Guy G Sanani, M.D.
• Chauntell Sanchez, LMFT
• Craig Richard Sanchez, D.C.
• Isabella Christina Sanchez
• Isabella Marie Sanchez, DIPLOMA

• Marriage & Family Therapist in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; 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.