Active NPI
Terri David, MS.MFT.
- Addiction (Substance Use Disorder) Counselor
- Sherman Oaks, CA
National Provider Identifier
1871582395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 30801
- Practice address
- 14156 Magnolia Blvd Ste 105
Sherman Oaks, CA 91423 - Phone
- (818) 635-1644
- Fax
- (818) 905-6686
- NPI assigned
- Oct 18, 2005
- Last updated
- Jun 4, 2018
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 30801 | CA | Primary |
Addresses
Primary practice location
14156 Magnolia Blvd Ste 105
Sherman Oaks, CA 91423
Mailing address
14668 Valley Vista Blvd
Sherman Oaks, CA 91403-4112
Phone (818) 635-1644
Other practice location 1
21515 Vanowen St
Canoga Park, CA 91303-2715
Phone (818) 635-1644
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 |
|---|---|---|---|
| 30801 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528070400000",
"number": "1871582395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14668 VALLEY VISTA BLVD",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914034112",
"telephone_number": "818-635-1644",
"fax_number": "818-713-8585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14156 MAGNOLIA BLVD STE 105",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "91423",
"telephone_number": "818-635-1644",
"fax_number": "818-905-6686"
}
],
"practiceLocations": [
{
"address_1": "21515 Vanowen St",
"address_purpose": "LOCATION",
"city": "Canoga Park",
"state": "CA",
"postal_code": "913032715",
"country_code": "US",
"telephone_number": "818-635-1644",
"fax_number": "818-713-8585",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVID",
"first_name": "TERRI",
"name_prefix": "Ms.",
"credential": "MS.MFT.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-10-18",
"last_updated": "2018-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "30801",
"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 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.