Active NPI
Brianna Rose Statman, LMFT
- Marriage & Family Therapist
- Valley Village, CA
National Provider Identifier
1447880059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 94663
- Practice address
- 5315 Laurel Canyon Blvd Ste 201
Valley Village, CA 91607-4916 - Phone
- (310) 270-5523
- NPI assigned
- Jan 23, 2020
- Sex
- Female
- 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 | 94663 | CA | Primary |
Addresses
Primary practice location
5315 Laurel Canyon Blvd Ste 201
Valley Village, CA 91607-4916
Mailing address
12533 Cumpston St
Valley Village, CA 91607-1911
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | AnnieLMFT@gmail.com | Direct |
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 |
|---|---|---|---|
| 94663 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bona Fide Hospice Inc | Past | Accepting new patients | |
| Wellness and Education Group, Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community Based Hospice Care Agency
- Van Nuys, CA
- NPI 1407471535
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- North Hollywood, CA
- NPI 1497231658
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579737600000",
"number": "1447880059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12533 CUMPSTON ST",
"city": "VALLEY VILLAGE",
"state": "CA",
"postal_code": "916071911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5315 LAUREL CANYON BLVD STE 201",
"city": "VALLEY VILLAGE",
"state": "CA",
"postal_code": "916074916",
"telephone_number": "310-270-5523"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STATMAN",
"first_name": "BRIANNA",
"middle_name": "ROSE",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-23",
"last_updated": "2020-01-23",
"certification_date": "2020-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "94663",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "AnnieLMFT@gmail.com",
"affiliation": "N",
"endpointDescription": "work email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Workplace email",
"address_1": "12533 Cumpston St",
"city": "Valley Village",
"state": "CA",
"country_code": "US",
"postal_code": "916071911",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Valley Village, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.