Individual provider Active NPI

Leah Nadette Matson, PH.D.

  • Marriage & Family Therapist
  • Santa Monica, CA
National Provider Identifier
1801460845
Registry record updated May 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT33165 Issued in CA
Practice address
2812 Santa Monica Blvd Ste 200
Santa Monica, CA 90404-2432
Phone
(310) 383-9889
NPI assigned
May 14, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2021

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 MFT33165 CA Primary

Addresses

Primary practice location

2812 Santa Monica Blvd Ste 200
Santa Monica, CA 90404-2432

Mailing address

28970 Oak Creek LN Apt 1709
Agoura Hills, CA 91301-6440
Phone (310) 383-9889

Other identifiers 1

IdentifierTypeStateIssuer
NONEOtherCANONE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL leahmatsonphd.com Direct

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MFT33165CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1620950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1801460845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28970 OAK CREEK LN APT 1709",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913016440",
            "telephone_number": "310-383-9889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2812 SANTA MONICA BLVD STE 200",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042432",
            "telephone_number": "310-383-9889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATSON",
        "first_name": "LEAH",
        "middle_name": "NADETTE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-14",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT33165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "leahmatsonphd.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "none",
            "address_1": "2812 Santa Monica Blvd Ste 200",
            "city": "Santa Monica",
            "state": "CA",
            "country_code": "US",
            "postal_code": "904042432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; 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.