Active NPI
Lynne Rafool Bidwell, LMFT, LPCC
- Marriage & Family Therapist
- Encino, CA
National Provider Identifier
1467811539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 88537
- Practice address
- 16055 Ventura Blvd
Suite 810
Encino, CA 91436-2601 - Phone
- (323) 451-2719
- NPI assigned
- Feb 18, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 | 88537 | CA | Primary |
Addresses
Primary practice location
16055 Ventura Blvd
Suite 810
Encino, CA 91436-2601
Mailing address
12160 Montana Ave
#10
Los Angeles, CA 90049-5271
Phone (310) 741-2256
Other names 1
- Ms. Lynne Bidwell
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 20, 2025 through May 20, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 88537 | CA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487980800000",
"number": "1467811539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12160 MONTANA AVE",
"address_2": "#10",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900495271",
"telephone_number": "310-741-2256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16055 VENTURA BLVD",
"address_2": "SUITE 810",
"city": "ENCINO",
"state": "CA",
"postal_code": "914362601",
"telephone_number": "323-451-2719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAFOOL BIDWELL",
"first_name": "LYNNE",
"name_prefix": "Ms.",
"credential": "LMFT, LPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-18",
"last_updated": "2017-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "88537",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LYNNE",
"last_name": "BIDWELL",
"prefix": "MS.",
"credential": "LMFT, LPCC",
"code": "2",
"type": "Professional Name"
}
]
}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 Feb 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.