Individual provider Active NPI

Jonathan Pappas, LMFT 90331

  • Marriage & Family Therapist
  • Thousand Oaks, CA
National Provider Identifier
1578833190
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT 90331 Issued in CA
Practice address
100 E Thousand Oaks Blvd Ste 225
Thousand Oaks, CA 91360-8132
Phone
(805) 320-5712
NPI assigned
Jan 12, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X
Marriage & Family Therapist 106H00000X LMFT 90331 CA Primary

Addresses

Primary practice location

100 E Thousand Oaks Blvd Ste 225
Thousand Oaks, CA 91360-8132

Mailing address

100 E Thousand Oaks Blvd Ste 225
Thousand Oaks, CA 91360-8132
Phone (805) 320-5712

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
I20240305001743 CA Practitioner - Marriage and Family Therapist 2567807191 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

100 E Thousand Oaks Blvd
Suite 225
Thousand Oaks, CA 91360-8132
Phone (805) 320-5712

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMFT 90331CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jonathan Pappas Marriage Family Therapy Inc. Single Specialty CurrentSince Jan 12, 2024 Accepting new patients

Locations

100 E Thousand Oaks Blvd
Ste 225
Thousand Oaks, CA 91360
Phone (805) 320-5712

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1326326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1578833190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E THOUSAND OAKS BLVD STE 225",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913608132",
            "telephone_number": "805-320-5712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E THOUSAND OAKS BLVD STE 225",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913608132",
            "telephone_number": "805-320-5712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPPAS",
        "first_name": "JONATHAN",
        "credential": "LMFT 90331",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-12",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT 90331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

Verify at the official NPI Registry.