Individual provider Active NPI

Naomi Ruth Godfrey, LMFT

  • Marriage & Family Therapist
  • Encino, CA
National Provider Identifier
1669434304
Registry record updated Sep 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC7685 Issued in CA
Practice address
16055 Ventura Blvd.
Suite #1111
Encino, CA 91436-2611
Phone
(818) 783-5470
Fax
(818) 360-2704
NPI assigned
Apr 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2010

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 MFC7685 CA Primary

Addresses

Primary practice location

16055 Ventura Blvd.
Suite #1111
Encino, CA 91436-2611

Mailing address

16055 Ventura Blvd.
Suite #1111
Encino, CA 91436-2611
Phone (818) 783-5470

Other names 1

  • Ms. Nickie Ruth Godfrey Professional 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
MFC7685CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285200000000",
    "number": "1669434304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16055 VENTURA BLVD.",
            "address_2": "SUITE #1111",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362611",
            "telephone_number": "818-783-5470",
            "fax_number": "818-360-2704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16055 VENTURA BLVD.",
            "address_2": "SUITE #1111",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362611",
            "telephone_number": "818-783-5470",
            "fax_number": "818-360-2704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODFREY",
        "first_name": "NAOMI",
        "middle_name": "RUTH",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-06",
        "last_updated": "2010-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC7685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICKIE",
            "last_name": "GODFREY",
            "middle_name": "RUTH",
            "prefix": "MS.",
            "credential": "LMFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2010; 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.