Individual provider Active NPI

Janis A Powell, LCSW

  • Social Worker
  • Burbank, CA
National Provider Identifier
1780939629
Registry record updated Jul 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
70414 Issued in CA
Practice address
4405 W Riverside Dr
Suite 209
Burbank, CA 91505-4072
Phone
(818) 643-1836
Fax
(818) 578-8653
NPI assigned
Jul 17, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SL05471900 NJ
Social Worker 104100000X 33344 CA
Social Worker 104100000X 70414 CA Primary

Addresses

Primary practice location

4405 W Riverside Dr
Suite 209
Burbank, CA 91505-4072

Mailing address

5333 Zelzah Ave
342
Encino, CA 91316-2221
Phone (818) 643-1836

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
44SL05471900NJMDSocial Worker
33344CAMDChiropractor
70414CAMDDental Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Family Counseling, a Professional Corporation Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468454400000",
    "number": "1780939629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5333 ZELZAH AVE",
            "address_2": "342",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913162221",
            "telephone_number": "818-643-1836",
            "fax_number": "818-578-8653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4405 W RIVERSIDE DR",
            "address_2": "SUITE 209",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054072",
            "telephone_number": "818-643-1836",
            "fax_number": "818-578-8653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "JANIS",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-17",
        "last_updated": "2016-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL05471900",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "33344",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "70414",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 14, 2016; 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.