Organization Active NPI

Vida Therapy Marriage Family and Child Counceling Inc.

  • Marriage & Family Therapist
  • Sherman Oaks, CA
National Provider Identifier
1629551940
Registry record updated Sep 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
VIDA THERAPY MARRIAGE FAMILY AND CHILD COUNCELING INC.
Practice address
15233 Ventura Blvd Ste 1208
Sherman Oaks, CA 91403-2271
Phone
(818) 650-0255
NPI assigned
Sep 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2018

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

Authorized official

Name
Miss Zeahlot A Lopez, LMFT
Title
Ceo
Phone
(818) 650-0255

Specialties & licenses 1

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

Addresses

Primary practice location

15233 Ventura Blvd Ste 1208
Sherman Oaks, CA 91403-2271

Mailing address

15233 Ventura Blvd Ste 1208
Sherman Oaks, CA 91403-2271
Phone (818) 650-0255

Other names 1

  • Vida Therapy Inc. Doing business as

National Provider Directory

National Provider Directory

Locations

15233 Ventura Blvd
Ste 1208
Sherman Oaks, CA 91403
Phone (818) 307-9314

NPI Registry JSON

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

{
    "created_epoch": "1536710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536710400000",
    "number": "1629551940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15233 VENTURA BLVD STE 1208",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914032271",
            "telephone_number": "818-650-0255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15233 VENTURA BLVD STE 1208",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914032271",
            "telephone_number": "818-650-0255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDA THERAPY MARRIAGE FAMILY AND CHILD COUNCELING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-12",
        "last_updated": "2018-09-12",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "ZEAHLOT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-650-0255",
        "authorized_official_name_prefix": "Miss",
        "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": [
        {
            "organization_name": "Vida Therapy Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sherman Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; 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.