Dan Drake, Marriage and Family Therapist, a Professional Corporation

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

MFC49986 Issued in CA

Legal business name

DAN DRAKE, MARRIAGE AND FAMILY THERAPIST, A PROFESSIONAL CORPORATION

Doing business as

Dan Drake, MFT, LPCC

Practice address

11712 Moorpark St
Suite 111
Studio City, CA 91604-2154

Phone

(310) 415-5732

NPI assigned

Jul 21, 2014

Organization subpart

No

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

Authorized official

Name

Dan Drake, MS, MA

Title

President

Phone

(310) 415-5732

Specialties & licenses 1

Addresses

Other names 1

• Dan Drake, MFT, LPCC Doing business as

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

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405900800000",
    "number": "1568879674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11712 MOORPARK ST",
            "address_2": "SUITE 111",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916042154",
            "telephone_number": "310-415-5732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11712 MOORPARK ST",
            "address_2": "SUITE 111",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916042154",
            "telephone_number": "310-415-5732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAN DRAKE, MARRIAGE AND FAMILY THERAPIST, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-21",
        "last_updated": "2014-07-21",
        "status": "A",
        "authorized_official_last_name": "DRAKE",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-415-5732",
        "authorized_official_credential": "MS, MA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "MFC49986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dan Drake, MFT, LPCC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Providers in Studio City, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.