Active NPI
Lisamarie Solano, M.A.
- Marriage & Family Therapist
- Pacoima, CA
National Provider Identifier
1700036373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- IMFT56802
- Practice address
- 12510 Van Nuys Blvd
Suite 209
Pacoima, CA 91331-1338 - Phone
- (626) 831-4144
- Fax
- (818) 799-1766
- NPI assigned
- Sep 19, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | IMFT56802 | CA | Primary |
Addresses
Primary practice location
12510 Van Nuys Blvd
Suite 209
Pacoima, CA 91331-1338
Mailing address
12633 Burbank Blvd
#110
North Hollywood, CA 91607-1581
Phone (818) 317-3123
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMFT56802 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221782400000",
"number": "1700036373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12633 BURBANK BLVD",
"address_2": "#110",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916071581",
"telephone_number": "818-317-3123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12510 VAN NUYS BLVD",
"address_2": "SUITE 209",
"city": "PACOIMA",
"state": "CA",
"postal_code": "913311338",
"telephone_number": "626-831-4144",
"fax_number": "818-799-1766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOLANO",
"first_name": "LISAMARIE",
"name_prefix": "Ms.",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-19",
"last_updated": "2008-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "IMFT56802",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pacoima, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.