Organization Active NPI

Jennifer Su'Apa'Ia Individual and Family Therapy

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Thousand Oaks, CA
National Provider Identifier
1700587573
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
JENNIFER SU'APA'IA INDIVIDUAL AND FAMILY THERAPY
Practice address
509 Marin St Ste 227
Thousand Oaks, CA 91360-4231
Phone
(805) 768-4777
NPI assigned
Mar 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jennifer Lynn Su'Apa'IaNPI 1932472511
Title
LMFT
Phone
(805) 428-3830

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

509 Marin St Ste 227
Thousand Oaks, CA 91360-4231

Mailing address

2105 Booth St
Simi Valley, CA 93065-1103
Phone (805) 428-3830

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1678924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678924800000",
    "number": "1700587573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 BOOTH ST",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930651103",
            "telephone_number": "805-428-3830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 MARIN ST STE 227",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913604231",
            "telephone_number": "805-768-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER SU'APA'IA INDIVIDUAL AND FAMILY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-16",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A",
        "authorized_official_last_name": "SU'APA'IA",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "LMFT",
        "authorized_official_telephone_number": "805-428-3830"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; 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.