Individual provider Active NPI

Maricela Hurtado, LMFT

  • Marriage & Family Therapist
  • Burbank, CA
National Provider Identifier
1760522775
Registry record updated Jan 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
48616 Issued in CA
Practice address
4405 W Riverside Dr Ste 205B
Burbank, CA 91505-4050
Phone
(805) 709-4281
NPI assigned
Feb 7, 2007
Last updated
Jan 25, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2019

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 48616 CA Primary

Addresses

Primary practice location

4405 W Riverside Dr Ste 205B
Burbank, CA 91505-4050

Mailing address

1531 Fairfield St
Glendale, CA 91201-2739
Phone (805) 709-4281

Other practice location 1

269 S Mariposa Ave
Los Angeles, CA 90004-5407
Phone (213) 639-2699

Other practice location 2

4405 W Riverside Dr
Burbank, CA 91505-4072
Phone (805) 709-4281

Other identifiers 1

IdentifierTypeStateIssuer
48616OtherCABOARD OF BEHAVIORAL SCIENCES

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

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548374400000",
    "number": "1760522775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1531 FAIRFIELD ST",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912012739",
            "telephone_number": "805-709-4281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4405 W RIVERSIDE DR STE 205B",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054050",
            "telephone_number": "805-709-4281"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "269 S Mariposa Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900045407",
            "country_code": "US",
            "telephone_number": "213-639-2699",
            "fax_number": "213-389-1987",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4405 W Riverside Dr",
            "address_purpose": "LOCATION",
            "city": "Burbank",
            "state": "CA",
            "postal_code": "915054072",
            "country_code": "US",
            "telephone_number": "805-709-4281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HURTADO",
        "first_name": "MARICELA",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2019-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "48616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF BEHAVIORAL SCIENCES",
            "identifier": "48616",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2019; 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.