Conejo Valley Family Counseling

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

46111 Issued in CA

Legal business name

CONEJO VALLEY FAMILY COUNSELING

Practice address

1000 Business Center Circle Suite 104
Newbury Park, CA 91320

Phone

(805) 242-3120

Fax

(720) 545-9970

NPI assigned

Feb 14, 2014

Last updated

May 9, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jennifer Kara Anderson, M.S.NPI 1083722060

Title

Owner

Phone

(805) 242-3120

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Kara Anderson, M.S.

  • Marriage & Family Therapist
  • Newbury Park, CA
  • NPI 1083722060
  NPD (past) Authorized official

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

{
    "created_epoch": "1392336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462752000000",
    "number": "1417371246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 DONALD AVENUE",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "91320",
            "telephone_number": "805-242-3120",
            "fax_number": "720-545-9970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 BUSINESS CENTER CIRCLE SUITE 104",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "91320",
            "telephone_number": "805-242-3120",
            "fax_number": "720-545-9970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONEJO VALLEY FAMILY COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-14",
        "last_updated": "2016-05-09",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "KARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-242-3120",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "46111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Newbury Park, CA
• Providers in Newbury Park, 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 May 9, 2016; 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.