Active NPI
Sharon Jean Burnett, M.F.T.
- Marriage & Family Therapist
- Tarzana, CA
National Provider Identifier
1790832905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFT16203
- Practice address
- 19634 Ventura Blvd
Suite 206
Tarzana, CA 91356-2966 - Phone
- (818) 609-8703
- Fax
- (818) 348-9310
- NPI assigned
- Jan 3, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFT16203 | CA | Primary |
Addresses
Primary practice location
19634 Ventura Blvd
Suite 206
Tarzana, CA 91356-2966
Mailing address
19634 Ventura Blvd
Suite 206
Tarzana, CA 91356-2966
Phone (818) 609-8703
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 |
|---|---|---|---|
| MFT16203 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ventura Counseling and Wellness Group | Marriage & Family Therapist | Current | Accepting new patients |
Locations
950 County Square Dr
Ste 111
Ventura, CA 93003
Phone (805) 620-8046
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.
-
- Marriage & Family Therapist
- Ventura, CA
- NPI 1992539530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790832905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19634 VENTURA BLVD",
"address_2": "SUITE 206",
"city": "TARZANA",
"state": "CA",
"postal_code": "913562966",
"telephone_number": "818-609-8703",
"fax_number": "818-348-9310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19634 VENTURA BLVD",
"address_2": "SUITE 206",
"city": "TARZANA",
"state": "CA",
"postal_code": "913562966",
"telephone_number": "818-609-8703",
"fax_number": "818-348-9310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNETT",
"first_name": "SHARON",
"middle_name": "JEAN",
"name_prefix": "Dr.",
"credential": "M.F.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFT16203",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tarzana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.