Individual provider Active NPI

Eliza Nielsen Monteverdi, MA MFT

  • Marriage & Family Therapist
  • Westlake Village, CA
National Provider Identifier
1609364975
Registry record updated Jul 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1241965 Issued in CA
Practice address
5655 Lindero Canyon Rd Ste 401
Westlake Village, CA 91362-4046
Phone
(805) 807-0317
NPI assigned
Apr 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 102341 CA
Marriage & Family Therapist 106H00000X 1241965 CA Primary

Addresses

Primary practice location

5655 Lindero Canyon Rd Ste 401
Westlake Village, CA 91362-4046

Mailing address

301 Green Moor PL
Thousand Oaks, CA 91361-1164
Phone (805) 807-0317

Other identifiers 1

IdentifierTypeStateIssuer
96991262GMedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
1241965CAMDMarriage & Family Therapist
102341CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Engage Treatment Program, Inc PastSince Jan 1, 2020 Accepting new patients

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": "1524441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625875200000",
    "number": "1609364975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 GREEN MOOR PL",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913611164",
            "telephone_number": "805-807-0317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5655 LINDERO CANYON RD STE 401",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913624046",
            "telephone_number": "805-807-0317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTEVERDI",
        "first_name": "ELIZA",
        "middle_name": "NIELSEN",
        "name_prefix": "Mrs.",
        "credential": "MA MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-23",
        "last_updated": "2021-07-10",
        "certification_date": "2021-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "102341",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "1241965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "96991262G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2021; 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.