Active NPI
April Lynn Fissel, MFT
- Marriage & Family Therapist
- Santa Monica, CA
National Provider Identifier
1821226804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC52165
- Practice address
- 1339 20TH St
Santa Monica, CA 90404-2033 - Phone
- (310) 829-8691
- NPI assigned
- Jun 29, 2009
- 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 | MFC52165 | CA | Primary |
Addresses
Primary practice location
1339 20TH St
Santa Monica, CA 90404-2033
Mailing address
2410 1/2 Oak St
Santa Monica, CA 90405-5106
Phone (310) 463-6158
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 95-1647832 | Other | CA | TAX ID |
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 |
|---|---|---|---|
| MFC52165 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367971200000",
"number": "1821226804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2410 1/2 OAK ST",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904055106",
"telephone_number": "310-463-6158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1339 20TH ST",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904042033",
"telephone_number": "310-829-8691"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISSEL",
"first_name": "APRIL",
"middle_name": "LYNN",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-29",
"last_updated": "2013-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC52165",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "95-1647832",
"state": "CA"
}
],
"endpoints": [],
"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 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.