Individual provider Active NPI

Allison Lieberman

  • Marriage & Family Therapist
  • Newbury Park, CA
National Provider Identifier
1588057335
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
100073 Issued in CA
Practice address
107 N Reino Rd # 1037
Newbury Park, CA 91320-3710
Phone
(805) 917-6860
Fax
(805) 917-6861
NPI assigned
Mar 17, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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 100073 CA Primary

Addresses

Primary practice location

107 N Reino Rd # 1037
Newbury Park, CA 91320-3710

Mailing address

7084 Bergamot Ave
Moorpark, CA 93021-5064
Phone (805) 917-6860

Other practice location 1

7084 Bergamot Ave
Moorpark, CA 93021-5064
Phone (805) 917-6860

Other names 1

  • Allison Cohen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 2, 2024 through Jan 2, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
100073CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Marriage & Family Therapist Current Accepting new patients
Allison Lieberman, LMFT, Inc CurrentSince Nov 17, 2024 Accepting new patients

Locations

107 N Reino Rd
Thousand Oaks, CA 91320
Phone (805) 590-7982

Interoperability endpoints

  • Direct secure messaging: allisonlieberman@tdh.allscriptsdirect.net

Organizations & group practices 2

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": "1426550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1588057335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7084 BERGAMOT AVE",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930215064",
            "telephone_number": "805-917-6860",
            "fax_number": "805-917-6861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 N REINO RD # 1037",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913203710",
            "telephone_number": "805-917-6860",
            "fax_number": "805-917-6861"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7084 Bergamot Ave",
            "address_purpose": "LOCATION",
            "city": "Moorpark",
            "state": "CA",
            "postal_code": "930215064",
            "country_code": "US",
            "telephone_number": "805-917-6860",
            "fax_number": "805-917-6861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIEBERMAN",
        "first_name": "ALLISON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-17",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "100073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLISON",
            "last_name": "COHEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newbury Park, CA

Sources for this page

Verify at the official NPI Registry.