Individual provider Active NPI

Mary Ann None Lovegren, MFT

  • Mental Health Counselor
  • Agoura Hills, CA
National Provider Identifier
1659559102
Registry record updated Feb 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MFT39405 Issued in CA
Practice address
30343 Canwood St Ste 208a
Agoura Hills, CA 91301-5905
Phone
(805) 449-8193
NPI assigned
Feb 7, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MFT39405 CA Primary

Addresses

Primary practice location

30343 Canwood St Ste 208a
Agoura Hills, CA 91301-5905

Mailing address

30343 Canwood St Ste 208a
Agoura Hills, CA 91301-5905
Phone (805) 402-8244

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 10, 2024 through Jan 10, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFT39405CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Ann Lovegren & Associates, Family Therapy Inc. Current 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": "1202342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202342400000",
    "number": "1659559102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30343 CANWOOD ST STE 208A",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913015905",
            "telephone_number": "805-402-8244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30343 CANWOOD ST STE 208A",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913015905",
            "telephone_number": "805-449-8193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVEGREN",
        "first_name": "MARY ANN",
        "middle_name": "NONE",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-07",
        "last_updated": "2008-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "MFT39405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Agoura Hills, CA

Sources for this page

Verify at the official NPI Registry.