Individual provider Active NPI

Teri Hartt, M.A.,M.F.T.

  • Mental Health Counselor
  • Agoura, CA
National Provider Identifier
1699817296
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MFC 25552 Issued in CA
Practice address
5923 Kanan Rd
Agoura, CA 91301-1688
Phone
(818) 407-6945
Fax
(818) 879-9167
NPI assigned
Feb 12, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 MFC 25552 CA Primary

Addresses

Primary practice location

5923 Kanan Rd
Agoura, CA 91301-1688

Mailing address

5923 Kanan Rd
Agoura, CA 91301-1688
Phone (818) 407-6945

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241217004584 CA Practitioner - Marriage and Family Therapist 0941737738 Practice locations: Agoura, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5923 Kanan Rd
Agoura, CA 91301-1688
Phone (818) 219-3415

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MFC 25552CAMDMental Health Counselor
25552CAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699817296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5923 KANAN RD",
            "city": "AGOURA",
            "state": "CA",
            "postal_code": "913011688",
            "telephone_number": "818-407-6945",
            "fax_number": "818-879-9167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5923 KANAN RD",
            "city": "AGOURA",
            "state": "CA",
            "postal_code": "913011688",
            "telephone_number": "818-407-6945",
            "fax_number": "818-879-9167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTT",
        "first_name": "TERI",
        "credential": "M.A.,M.F.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "MFC 25552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Agoura, CA

Sources for this page

Verify at the official NPI Registry.