Individual provider Active NPI

Crystal Guzman, LMFT

  • Marriage & Family Therapist
  • Encino, CA
National Provider Identifier
1548679145
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
15720 Ventura Blvd Ste 420
Encino, CA 91436-4711
Phone
(818) 927-0478
NPI assigned
Aug 7, 2014
Last updated
Aug 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

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 NU Primary

Addresses

Primary practice location

15720 Ventura Blvd Ste 420
Encino, CA 91436-4711

Mailing address

15720 Ventura Blvd Ste 420
Encino, CA 91436-4711
Phone (818) 927-0478

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20260428001485 CA Practitioner - Marriage and Family Therapist 2466994637 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2002
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

19136 Kinzie St
Northridge, CA 91324-1726

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
105381CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Opportunity & Mental Empowerment Marriage & Family Therapist CurrentSince Mar 3, 2024 Accepting new patients
Find Your Balance Therapy Center & Family Services a Professional Cor Marriage & Family Therapist CurrentSince Jun 25, 2024 Accepting new patients
Therapysource for Kids, Inc. Past Accepting new patients

Locations

15720 Ventura Blvd
Ste 420
Encino, CA 91436
Phone (818) 345-0107

Organizations & group practices 3

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": "1407369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1548679145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15720 VENTURA BLVD STE 420",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364711",
            "telephone_number": "818-927-0478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15720 VENTURA BLVD STE 420",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364711",
            "telephone_number": "818-927-0478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZMAN",
        "first_name": "CRYSTAL",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-07",
        "last_updated": "2021-08-23",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

Verify at the official NPI Registry.