Active NPI
Juan Carlos Garcia I, LICENSED MFT
- Marriage & Family Therapist
- Northridge, CA
National Provider Identifier
1740527936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 84684
- Practice address
- 9650 Zelzah Ave
Northridge, CA 91325-2003 - Phone
- (818) 993-9311
- NPI assigned
- Jan 9, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 84684 | CA | |
| Marriage & Family Therapist | 106H00000X | 104490 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Marriage & Family Therapist | 106H00000X | 84684 | CA | Primary |
Addresses
Primary practice location
9650 Zelzah Ave
Northridge, CA 91325-2003
Mailing address
9650 Zelzah Ave
Northridge, CA 91325-2003
Phone (818) 993-9311
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 84684 | Other | CA | MFT-I |
| 01240416 | Other | CA | MFT-T |
| LMFT104490 | Other | CA | LICENSED MARRIAGE AND FAMILY THERAPIST |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 84684 | CA | MD | Social Worker |
| 104490 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519171200000",
"number": "1740527936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9650 ZELZAH AVE",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913252003",
"telephone_number": "818-993-9311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9650 ZELZAH AVE",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913252003",
"telephone_number": "818-993-9311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "JUAN",
"middle_name": "CARLOS",
"name_prefix": "Mr.",
"name_suffix": "I",
"credential": "LICENSED MFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-01-09",
"last_updated": "2018-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "84684",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "104490",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "84684",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MFT-I",
"identifier": "84684",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MFT-T",
"identifier": "01240416",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED MARRIAGE AND FAMILY THERAPIST",
"identifier": "LMFT104490",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Northridge, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.