Individual provider Active NPI

Roy Howard Ettenger, LMFT

  • Marriage & Family Therapist
  • Santa Monica, CA
National Provider Identifier
1477408326
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
14599 Issued in CA
Practice address
2665 30TH St Ste 211
Santa Monica, CA 90405-3025
Phone
(310) 435-5808
NPI assigned
Mar 4, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 14599 CA Primary

Addresses

Primary practice location

2665 30TH St Ste 211
Santa Monica, CA 90405-3025

Mailing address

3575 N Moorpark Rd # 102
Thousand Oaks, CA 91360-2666
Phone (310) 435-5808

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

NPI Registry JSON

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

{
    "created_epoch": "1772582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1477408326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3575 N MOORPARK RD # 102",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913602666",
            "telephone_number": "310-435-5808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2665 30TH ST STE 211",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904053025",
            "telephone_number": "310-435-5808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETTENGER",
        "first_name": "ROY",
        "middle_name": "HOWARD",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-03-04",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "14599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; 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.