Active NPI
Green Dot Public Corperation
- Local Education Agency (LEA)
- Venice, CA
National Provider Identifier
1720950629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Local Education Agency (LEA)
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Maja Leah Stobaugh, LPCC 11615
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
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- Los Angeles, CA
- NPI 1518410562
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.