Active NPI
Yevgeniya Libman
- Marriage & Family Therapist
- Van Nuys, CA
National Provider Identifier
1669972949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 119940
- Practice address
- 15339 Saticoy St
Van Nuys, CA 91406-3345 - Phone
- (818) 267-2619
- NPI assigned
- Feb 13, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 102452 | CA | |
| Marriage & Family Therapist | 106H00000X | 119940 | CA | Primary |
Addresses
Primary practice location
15339 Saticoy St
Van Nuys, CA 91406-3345
Mailing address
11044 Acama St Unit 311
North Hollywood, CA 91602-3096
Phone (323) 841-2348
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
| License | State | Type | Specialty |
|---|---|---|---|
| 119940 | CA | MD | Clinical Social Worker |
| 102452 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594166400000",
"number": "1669972949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11044 ACAMA ST UNIT 311",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916023096",
"telephone_number": "323-841-2348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15339 SATICOY ST",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914063345",
"telephone_number": "818-267-2619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIBMAN",
"first_name": "YEVGENIYA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-13",
"last_updated": "2020-07-08",
"certification_date": "2020-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "102452",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "119940",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.