Active NPI
Janis A Powell, LCSW
- Social Worker
- Burbank, CA
National Provider Identifier
1780939629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 70414
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 44SL05471900 | NJ | MD | Social Worker |
| 33344 | CA | MD | Chiropractor |
| 70414 | CA | MD | Dental Assistant |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Community/Behavioral Health Agency
- Burbank, CA
- NPI 1760925101
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.