Individual provider Active NPI

Jo Anne Fox-Avnet, PH.D.

  • Marriage & Family Therapist
  • Sherman Oaks, CA
National Provider Identifier
1720109754
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
M14620 Issued in CA
Practice address
15315 Magnolia Blvd
Suite 404
Sherman Oaks, CA 91403-1173
Phone
(818) 789-5202
Fax
(818) 789-4787
NPI assigned
Apr 3, 2007
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
Marriage & Family Therapist 106H00000X M14620 CA Primary

Addresses

Primary practice location

15315 Magnolia Blvd
Suite 404
Sherman Oaks, CA 91403-1173

Mailing address

15315 Magnolia Blvd
Suite 404
Sherman Oaks, CA 91403-1173
Phone (818) 789-5202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 12, 2025 through Mar 12, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
M14620CAMDMarriage & Family Therapist
14620CAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720109754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15315 MAGNOLIA BLVD",
            "address_2": "SUITE 404",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031173",
            "telephone_number": "818-789-5202",
            "fax_number": "818-789-4787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15315 MAGNOLIA BLVD",
            "address_2": "SUITE 404",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031173",
            "telephone_number": "818-789-5202",
            "fax_number": "818-789-4787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX-AVNET",
        "first_name": "JO ANNE",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "M14620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

Verify at the official NPI Registry.