Individual provider Active NPI

Marion Behrend, MFT

  • Marriage & Family Therapist
  • Canyon Country, CA
National Provider Identifier
1871632208
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT 20767 Issued in CA
Practice address
27141 Hidaway Ave
Suite 205
Canyon Country, CA 91351-4131
Phone
(661) 252-7026
Fax
(661) 252-6839
NPI assigned
Feb 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 MFT 20767 CA Primary

Addresses

Primary practice location

27141 Hidaway Ave
Suite 205
Canyon Country, CA 91351-4131

Mailing address

27141 Hidaway Ave
Suite 205
Canyon Country, CA 91351-4131
Phone (661) 252-7026

Other identifiers 3

IdentifierTypeStateIssuer
144227OtherCAVALUE OPTIONS
60054OtherCAAETNA
MFT207671OtherCABLUE SHIELD OF CALIFORNIA

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

LicenseStateTypeSpecialty
MFT 20767CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871632208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27141 HIDAWAY AVE",
            "address_2": "SUITE 205",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913514131",
            "telephone_number": "661-252-7026",
            "fax_number": "661-252-6839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27141 HIDAWAY AVE",
            "address_2": "SUITE 205",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913514131",
            "telephone_number": "661-252-7026",
            "fax_number": "661-252-6839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEHREND",
        "first_name": "MARION",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT 20767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "144227",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "60054",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CALIFORNIA",
            "identifier": "MFT207671",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canyon Country, 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.

Verify at the official NPI Registry.