Timothy Paul Lisagor, AMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

141474 Issued in CA

Practice address

16250 Ventura Blvd Ste 465
Encino, CA 91436-4620

Phone

(818) 906-0406

NPI assigned

Apr 18, 2024

Sex

Male

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• The Wilshire Counseling Center, a Psychological Corporation

  • Clinical Psychologist
  • Encino, CA
  • NPI 1306990577
  NPD
• Midwest Post-Acute Care of California PC

  • Nurse Practitioner
  • Chicago, IL
  • NPI 1326490871
  NPD (past)

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

{
    "created_epoch": "1713398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1780439299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "932 W GLENOAKS BLVD APT 3",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912022756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16250 VENTURA BLVD STE 465",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364620",
            "telephone_number": "818-906-0406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISAGOR",
        "first_name": "TIMOTHY",
        "middle_name": "PAUL",
        "credential": "AMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-04-18",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "141474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Y Makuta DDS PC
• Nicholas Lindgren, PH.D., BCBA, LBA
• Lisa Shari Lintz, M.D.
• Vadim Lipel, MD
• Rachel Lipman
• Wanjiku Wainaina Lisberg
• Nancy Liss
• Margaret Lister, PA-C
• India Little
• Liv Hospice and Palliative Care, Inc.

• Marriage & Family Therapist in Encino, CA
• Providers in Encino, 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 18, 2024; 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.