Individual provider Active NPI

Lisa Dyck, MS, LMFT

  • Marriage & Family Therapist
  • Westlake Village, CA
National Provider Identifier
1750770186
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
84472 Issued in CA
Practice address
31324 Via Colinas Ste 108
Westlake Village, CA 91362-6756
Phone
(805) 210-1869
Fax
(818) 889-1815
NPI assigned
Jan 22, 2015
Last updated
Feb 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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 84472 CA Primary

Addresses

Primary practice location

31324 Via Colinas Ste 108
Westlake Village, CA 91362-6756

Mailing address

31356 Via Colinas Ste 114
Westlake Village, CA 91362-6864
Phone (805) 222-6882

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240320004126 CA Practitioner - Marriage and Family Therapist 9234576620 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

31324 Via Colinas
Suite 108
Westlake Village, CA 91362-3908

31324 Via Colinas
Suite 108
Westlake Village, CA 91362-6756
Phone (805) 660-0932

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
84472CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa Dyck, Licensed Marriage and Family Therapist, Inc. Marriage & Family Therapist CurrentSince Feb 17, 2024 Accepting new patients

Locations

31324 Via Colinas
Ste 108
Westlake Village, CA 91362
Phone (805) 405-1363

31356 Via Colinas
Ste 114
Westlake Village, CA 91362
Phone (805) 242-2429

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1421884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1750770186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31356 VIA COLINAS STE 114",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913626864",
            "telephone_number": "805-222-6882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31324 VIA COLINAS STE 108",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913626756",
            "telephone_number": "805-210-1869",
            "fax_number": "818-889-1815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYCK",
        "first_name": "LISA",
        "credential": "MS, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-22",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "84472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake Village, CA

Sources for this page

Verify at the official NPI Registry.