Active NPI
Steve Anton Klein, MARRIAGE AND FAMILY
- Mental Health Counselor
- Winnetka, CA
National Provider Identifier
1699287755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MR17904
- Practice address
- 19725 Sherman Way
Winnetka, CA 91306-3650 - Phone
- (310) 247-8712
- NPI assigned
- Oct 30, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | |||
| Mental Health Counselor | 101YM0800X | MR17904 | CA | Primary |
Addresses
Primary practice location
19725 Sherman Way
Winnetka, CA 91306-3650
Mailing address
17040 Otsego St., Encino, Ca
Encino, CA 91316
Phone (818) 624-1616
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 20, 2024 through Jun 20, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MR17904 | CA | MD | Mental Health Counselor |
| 17904 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509321600000",
"number": "1699287755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17040 OTSEGO ST., ENCINO, CA",
"city": "ENCINO",
"state": "CA",
"postal_code": "91316",
"telephone_number": "818-624-1616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19725 SHERMAN WAY",
"city": "WINNETKA",
"state": "CA",
"postal_code": "913063650",
"telephone_number": "310-247-8712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEIN",
"first_name": "STEVE",
"middle_name": "ANTON",
"credential": "MARRIAGE AND FAMILY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-10-30",
"last_updated": "2017-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "MR17904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winnetka, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.