Jennifer T Elder, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC30545 Issued in CA

Practice address

2815 Townsgate Rd Ste 115
Westlake Village, CA 91361-5826

Phone

(818) 304-4601

NPI assigned

Apr 1, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1585699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585699200000",
    "number": "1780213827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 LITTLE JOHN CT",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913614832",
            "telephone_number": "818-304-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 TOWNSGATE RD STE 115",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913615826",
            "telephone_number": "818-304-4601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELDER",
        "first_name": "JENNIFER",
        "middle_name": "T",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-01",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC30545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelley Edwards, DC, CFMP
• Azadeh Eghterafi
• Mohammad Ismail Ehsani-Nia
• Lauren Elizabeth Eisenbud, MD
• Elaine Carol Eisner, MA, LMFT
• Elevation Behavioral Health
• Eisha Ellahy
• Em Psyche Medical Group, Inc.
• Mark Emmitt, MFT
• Marie D. Emmons, MD

• Marriage & Family Therapist in Westlake Village, CA
• Providers in Westlake Village, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.