Beverly Hansen Weisblatt, MA, MFTI

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

86781 Issued in CA

Practice address

6491 Ivarene Ave.
Los Angeles, CA 90068

Phone

(323) 652-2525

NPI assigned

Jul 2, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Thrive Family Counseling, a Professional Corporation

  • Community/Behavioral Health Agency
  • Burbank, CA
  • NPI 1760925101
  NPD (past) Authorized official

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

{
    "created_epoch": "1341187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433203200000",
    "number": "1477817708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6491 IVARENE AVE.",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90068",
            "telephone_number": "323-652-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6491 IVARENE AVE.",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90068",
            "telephone_number": "323-652-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISBLATT",
        "first_name": "BEVERLY",
        "middle_name": "HANSEN",
        "name_prefix": "Ms.",
        "credential": "MA, MFTI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-02",
        "last_updated": "2015-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "86781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "147781778",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Asher Weisberg, MD
• Deborah Cecile Weisberg, LMFT, LPCC
• Louis Warren Weisberg, M.D.
• Stephen Weisberg, D.D.S.
• Calvin L. Weisberger, MD
• Howard C. Weisbrot
• Maurice Weise, MD
• Billie Weiser, MS, MFT
• Zachary Weiser
• Molly Anne Weisert, M.D.

• Marriage & Family Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.