Individual provider Active NPI

Geoffrey Erik Sherrell

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1770137879
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
135651 Issued in CA
Practice address
13101 W Washington Blvd Ste 215
Los Angeles, CA 90066-5173
Phone
(424) 438-2888
NPI assigned
Jul 26, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X AMFT111750 CA
Marriage & Family Therapist 106H00000X 135651 CA Primary

Addresses

Primary practice location

13101 W Washington Blvd Ste 215
Los Angeles, CA 90066-5173

Mailing address

5918 Pilar Way
Bakersfield, CA 93306-7420
Phone (317) 679-7343

Other practice location 1

1639 11th St Ste 103
Santa Monica, CA 90404-3727
Phone (424) 438-2888

Other practice location 2

12010 Roaring River Ave
Bakersfield, CA 93311-9308
Phone (317) 679-7343

Other practice location 3

11907 Sturgeon Creek Dr
Bakersfield, CA 93311-9261
Phone (317) 679-7343

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

LicenseStateTypeSpecialty
135651CAMDMarriage & Family Therapist
AMFT111750CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1564099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1770137879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5918 PILAR WAY",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933067420",
            "telephone_number": "317-679-7343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13101 W WASHINGTON BLVD STE 215",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900665173",
            "telephone_number": "424-438-2888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1639 11th St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904043727",
            "country_code": "US",
            "telephone_number": "424-438-2888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12010 Roaring River Ave",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933119308",
            "country_code": "US",
            "telephone_number": "317-679-7343",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11907 Sturgeon Creek Dr",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933119261",
            "country_code": "US",
            "telephone_number": "317-679-7343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHERRELL",
        "first_name": "GEOFFREY",
        "middle_name": "ERIK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-26",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT111750",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "135651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.