Individual provider Active NPI

Denise Louise Koger, PSY.D., MFT

  • Marriage & Family Therapist
  • Encino, CA
National Provider Identifier
1477617801
Registry record updated Aug 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC33431 Issued in CA
Practice address
16550 Ventura Blvd.
Suite 210
Encino, CA 91436-2004
Phone
(818) 438-3817
Fax
(818) 386-8096
NPI assigned
Dec 20, 2006
Last updated
Aug 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC33431 CA Primary

Addresses

Primary practice location

16550 Ventura Blvd.
Suite 210
Encino, CA 91436-2004

Mailing address

PO Box 55422
Sherman Oaks, CA 91413-0422
Phone (818) 438-3817

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 12, 2024 through Feb 12, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFC33431CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Joan Browner PH D Psychology Corp CurrentSince Mar 31, 2024 Accepting new patients
Valley Counseling Past Accepting new patients

Locations

16550 Ventura Blvd
Ste 210
Encino, CA 91436
Phone (818) 378-1505

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659312000000",
    "number": "1477617801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55422",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914130422",
            "telephone_number": "818-438-3817",
            "fax_number": "818-995-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16550 VENTURA BLVD.",
            "address_2": "SUITE 210",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362004",
            "telephone_number": "818-438-3817",
            "fax_number": "818-386-8096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOGER",
        "first_name": "DENISE",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "PSY.D., MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC33431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

Verify at the official NPI Registry.