Individual provider Active NPI

Kenneth Edward Newelt, M.A., MFT

  • Marriage & Family Therapist
  • Sherman Oaks, CA
National Provider Identifier
1801057013
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC41098 Issued in CA
Practice address
13400 Riverside Dr
Suite 318
Sherman Oaks, CA 91423-2500
Phone
(818) 242-0600
NPI assigned
Jun 19, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC41098 CA Primary

Addresses

Primary practice location

13400 Riverside Dr
Suite 318
Sherman Oaks, CA 91423-2500

Mailing address

13400 Riverside Dr
Suite 318
Sherman Oaks, CA 91423-2500
Phone (818) 242-0600

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MFC41098CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213833600000",
    "number": "1801057013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13400 RIVERSIDE DR",
            "address_2": "SUITE 318",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914232500",
            "telephone_number": "818-242-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13400 RIVERSIDE DR",
            "address_2": "SUITE 318",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914232500",
            "telephone_number": "818-242-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWELT",
        "first_name": "KENNETH",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "M.A., MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-19",
        "last_updated": "2008-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC41098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.