Organization Active NPI

Green Dot Public Corperation

  • Local Education Agency (LEA)
  • Venice, CA
National Provider Identifier
1720950629
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
GREEN DOT PUBLIC CORPERATION
Practice address
820 Broadway St
Venice, CA 90291-3408
Phone
(310) 392-8751
NPI assigned
Sep 19, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Maja Leah Stobaugh, LPCC 11615NPI 1518410562
Title
School Mental Health Supervisor
Phone
(775) 813-0108

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
Local Education Agency (LEA) 251300000X Primary

Addresses

Primary practice location

820 Broadway St
Venice, CA 90291-3408

Mailing address

2030 Ocean Park Blvd
Santa Monica, CA 90405-4914

National Provider Directory

National Provider Directory

Locations

820 Broadway St
Venice, CA 90291
Phone (310) 392-8751

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": "1758240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1720950629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 OCEAN PARK BLVD",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904054914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 BROADWAY ST",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "902913408",
            "telephone_number": "310-392-8751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN DOT PUBLIC CORPERATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-19",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "STOBAUGH",
        "authorized_official_first_name": "MAJA",
        "authorized_official_middle_name": "LEAH",
        "authorized_official_title_or_position": "SCHOOL MENTAL HEALTH SUPERVISOR",
        "authorized_official_telephone_number": "775-813-0108",
        "authorized_official_credential": "LPCC 11615"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.