Individual provider Active NPI

Lisa Markinson, M.F.T.

  • Marriage & Family Therapist
  • Tarzana, CA
National Provider Identifier
1699147132
Registry record updated May 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
IMF 87642 Issued in CA
Practice address
19634 Ventura Blvd Ste 212
Tarzana, CA 91356
Phone
(818) 758-9450
NPI assigned
Oct 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2018

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 IMF 87642 CA Primary

Addresses

Primary practice location

19634 Ventura Blvd Ste 212
Tarzana, CA 91356

Mailing address

19634 Ventura Blvd Ste 212
Tarzana, CA 91356-2984
Phone (310) 666-2230

Other names 1

  • Lisa Markinson 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
IMF 87642CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1445558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526947200000",
    "number": "1699147132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19634 VENTURA BLVD STE 212",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562984",
            "telephone_number": "310-666-2230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19634 VENTURA BLVD STE 212",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "91356",
            "telephone_number": "818-758-9450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKINSON",
        "first_name": "LISA",
        "name_prefix": "Mrs.",
        "credential": "M.F.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-23",
        "last_updated": "2018-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF 87642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "MARKINSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tarzana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2018; 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.