Individual provider Active NPI

Melissa Rachel Kagan

  • Marriage & Family Therapist
  • Simi Valley, CA
National Provider Identifier
1720618903
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
89064 Issued in CA
Practice address
1672 Casarin Ave
Simi Valley, CA 93065-4515
Phone
(805) 539-3410
NPI assigned
Jan 16, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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 89064 CA Primary

Addresses

Primary practice location

1672 Casarin Ave
Simi Valley, CA 93065-4515

Mailing address

20929 Ventura Blvd # 47-170
Woodland Hills, CA 91364-2334
Phone (805) 539-3410

Other practice location 1

2136 Cutler St
Simi Valley, CA 93065-4923
Phone (805) 527-1166

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address melissa@forthefuturestrtp.org Direct

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

State licenses

LicenseStateTypeSpecialty
89064CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Guiding Our Youth CurrentSince Jul 21, 2024 Accepting new patients
For the Future, Inc. CurrentSince Jan 12, 2020 Accepting new patients
Guiding Our Youth PastSince Mar 28, 2021 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1579132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1720618903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20929 VENTURA BLVD # 47-170",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642334",
            "telephone_number": "805-539-3410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1672 CASARIN AVE",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930654515",
            "telephone_number": "805-539-3410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2136 Cutler St",
            "address_purpose": "LOCATION",
            "city": "Simi Valley",
            "state": "CA",
            "postal_code": "930654923",
            "country_code": "US",
            "telephone_number": "805-527-1166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAGAN",
        "first_name": "MELISSA",
        "middle_name": "RACHEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-16",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "89064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "melissa@forthefuturestrtp.org",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4955 Alta St",
            "city": "Simi Valley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "930632452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; 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.