Individual provider Active NPI

Susan Rae Kahn, MFT

  • Marriage & Family Therapist
  • Westlake Village, CA
National Provider Identifier
1639283617
Registry record updated May 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT31659 Issued in CA
Practice address
141 N. Duesenberg Drive
Suite 9
Westlake Village, CA 91362
Phone
(818) 750-7777
Fax
(818) 878-0308
NPI assigned
Aug 18, 2006
Last updated
May 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2021

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
Marriage & Family Therapist 106H00000X MFC31659 CA
Marriage & Family Therapist 106H00000X MFT31659 CA Primary

Addresses

Primary practice location

141 N. Duesenberg Drive
Suite 9
Westlake Village, CA 91362

Mailing address

4240 Lost Hills Road
#2501
Calabasas Hills, CA 91301
Phone (818) 750-7777

Other names 1

  • Ms. Susan Rae Ryave Former name

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

State licenses

LicenseStateTypeSpecialty
MFC31659CAMDMarriage & Family Therapist
MFT31659CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621209600000",
    "number": "1639283617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4240 LOST HILLS ROAD",
            "address_2": "#2501",
            "city": "CALABASAS HILLS",
            "state": "CA",
            "postal_code": "91301",
            "telephone_number": "818-750-7777",
            "fax_number": "818-878-0308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 N. DUESENBERG DRIVE",
            "address_2": "SUITE 9",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "91362",
            "telephone_number": "818-750-7777",
            "fax_number": "818-878-0308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAHN",
        "first_name": "SUSAN",
        "middle_name": "RAE",
        "name_prefix": "Ms.",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC31659",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT31659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "RYAVE",
            "middle_name": "RAE",
            "prefix": "MS.",
            "credential": "MFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 May 17, 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.