Village Church, Inc.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

VILLAGE CHURCH, INC.

Practice address

3216 W Victory Blvd
Burbank, CA 91505-1597

Phone

(818) 843-4883

Fax

(818) 843-3423

NPI assigned

Mar 13, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Kimberly Ann Dodd, LMFTNPI 1831440171

Title

Executive Clinical Director

Phone

(818) 843-4883

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.

• Kimberly Ann Dodd, LMFT

  • Marriage & Family Therapist
  • Mishawaka, IN
  • NPI 1831440171
  NPD Authorized official

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

{
    "created_epoch": "1710288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710288000000",
    "number": "1477312403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3216 W VICTORY BLVD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915051597",
            "telephone_number": "818-843-4883",
            "fax_number": "818-843-3423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3216 W VICTORY BLVD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915051597",
            "telephone_number": "818-843-4883",
            "fax_number": "818-843-3423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE CHURCH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-13",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A",
        "authorized_official_last_name": "DODD",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "EXECUTIVE CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "818-843-4883",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Burbank, CA
• Providers in Burbank, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; 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.