Individual provider Active NPI

Giovanni Escorcia

  • Marriage & Family Therapist
  • Glendale, CA
National Provider Identifier
1619547460
Registry record updated Nov 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
1010 N Central Ave # 310
Glendale, CA 91202-2937
Phone
(818) 724-9770
NPI assigned
Jun 24, 2021
Last updated
Nov 10, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X NU Primary
Student in an Organized Health Care Education/Training Program 390200000X NU
Behavior Technician 106S00000X NU

Addresses

Primary practice location

1010 N Central Ave # 310
Glendale, CA 91202-2937

Mailing address

16500 Ventura Blvd Ste 414
Encino, CA 91436-5050

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mending Souls Marriage & Family Therapist CurrentSince Jan 1, 2024 Accepting new patients
Mending Souls Marriage & Family Therapist CurrentSince Nov 12, 2023 Accepting new patients

Locations

1010 N Central Ave
#310
Glendale, CA 91202
Phone (818) 724-9770

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1624492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699574400000",
    "number": "1619547460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16500 VENTURA BLVD STE 414",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914365050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 N CENTRAL AVE # 310",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912022937",
            "telephone_number": "818-724-9770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCORCIA",
        "first_name": "GIOVANNI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-24",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; 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.