Individual provider Active NPI

Nicole Friedman Goldberg, LMFT

  • Marriage & Family Therapist
  • Toluca Lake, CA
National Provider Identifier
1649711334
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
96489 Issued in CA
Practice address
4507 Auckland Ave
Toluca Lake, CA 91602-1502
Phone
(818) 381-9965
Fax
(818) 452-5985
NPI assigned
Mar 14, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 96489 CA Primary

Addresses

Primary practice location

4507 Auckland Ave
Toluca Lake, CA 91602-1502

Mailing address

4507 Auckland Ave
Toluca Lake, CA 91602-1502
Phone (818) 381-9965

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
96489CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
NFG Family Therapy Current Accepting new patients

Locations

10653 Riverside Dr
Toluca Lake, CA 91602
Phone (213) 787-7644

4507 Auckland Ave
Toluca Lake, CA 91602
Phone (818) 381-9965

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": "1489449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1649711334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4507 AUCKLAND AVE",
            "city": "TOLUCA LAKE",
            "state": "CA",
            "postal_code": "916021502",
            "telephone_number": "818-381-9965",
            "fax_number": "818-452-5985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4507 AUCKLAND AVE",
            "city": "TOLUCA LAKE",
            "state": "CA",
            "postal_code": "916021502",
            "telephone_number": "818-381-9965",
            "fax_number": "818-452-5985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "NICOLE",
        "middle_name": "FRIEDMAN",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-14",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "96489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toluca Lake, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; 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.