S T Rezai Family Counseling, Professional Corporation

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

S T REZAI FAMILY COUNSELING, PROFESSIONAL CORPORATION

Practice address

5743 Corsa Ave Ste 112
Westlake Village, CA 91362-6441

Phone

(805) 229-1887

NPI assigned

Mar 9, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Sepideh Takmili Rezai, LMFT

Title

Ceo

Phone

(805) 229-1887

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1583712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583712000000",
    "number": "1588299614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5743 CORSA AVE STE 112",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913626441",
            "telephone_number": "805-229-1887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5743 CORSA AVE STE 112",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913626441",
            "telephone_number": "805-229-1887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S T REZAI FAMILY COUNSELING, PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-09",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A",
        "authorized_official_last_name": "REZAI",
        "authorized_official_first_name": "SEPIDEH",
        "authorized_official_middle_name": "TAKMILI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-229-1887",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Mar 9, 2020; 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.