Lisa Dyck, Licensed Marriage and Family Therapist, Inc.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

84472 Issued in CA

Legal business name

LISA DYCK, LICENSED MARRIAGE AND FAMILY THERAPIST, INC.

Practice address

31324 Via Colinas Ste 108
Westlake Village, CA 91362-6756

Phone

(805) 660-0932

Fax

(818) 889-1815

NPI assigned

Feb 16, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Lisa Marie Dyck, MS., LMFTNPI 1750770186

Title

President and Ceo

Phone

(805) 660-0932

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lisa Dyck LMFT Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa Dyck, MS, LMFT

  • Marriage & Family Therapist
  • Westlake Village, CA
  • NPI 1750770186
  Medicare reassignment NPD Authorized official
• Nancy Maria Herzenach

  • Marriage & Family Therapist
  • Simi Valley, CA
  • NPI 1093946089
  NPD (past)
• Bruce Robert Watson, MSW

  • Clinical Social Worker
  • Simi Valley, CA
  • NPI 1568451805
  NPD (past)

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

{
    "created_epoch": "1424044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708041600000",
    "number": "1568853232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31324 VIA COLINAS STE 108",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913626756",
            "telephone_number": "805-660-0932",
            "fax_number": "818-889-1815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31324 VIA COLINAS STE 108",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913626756",
            "telephone_number": "805-660-0932",
            "fax_number": "818-889-1815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA DYCK, LICENSED MARRIAGE AND FAMILY THERAPIST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-16",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A",
        "authorized_official_last_name": "DYCK",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "805-660-0932",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS., LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "84472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOB",
            "identifier": "11051966",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lisa Dyck LMFT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Fanita Marian Lister, LCSW
• Fang-Yu Liu, MD
• Linda Liu, PA
• Thomas F Locke, PHD

• Marriage & Family Therapist in Westlake Village, CA
• Providers in Westlake Village, 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 Feb 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.