Individual provider Active NPI

James William Gilbert, MA, AMFT, APCC

  • Marriage & Family Therapist
  • Encino, CA
National Provider Identifier
1497392997
Registry record updated Dec 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
92260 Issued in CA
Practice address
16200 Ventura Blvd Ste 403
Encino, CA 91436-4692
Phone
(626) 221-2805
NPI assigned
Dec 3, 2019
Last updated
Dec 3, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2019

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 92260 CA Primary

Addresses

Primary practice location

16200 Ventura Blvd Ste 403
Encino, CA 91436-4692

Mailing address

452 Paulette PL
La Canada, CA 91011-2728

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 2, 2024 through Feb 2, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
127859CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1575331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575331200000",
    "number": "1497392997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "452 PAULETTE PL",
            "city": "LA CANADA",
            "state": "CA",
            "postal_code": "910112728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16200 VENTURA BLVD STE 403",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364692",
            "telephone_number": "626-221-2805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILBERT",
        "first_name": "JAMES",
        "middle_name": "WILLIAM",
        "credential": "MA, AMFT, APCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-03",
        "last_updated": "2019-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "92260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

Verify at the official NPI Registry.