Individual provider Active NPI

Lynn Comley, MA, MFT

  • Marriage & Family Therapist
  • Simi Valley, CA
National Provider Identifier
1881716744
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 30361 Issued in CA
Practice address
15 Vista Lago Dr
Suite L
Simi Valley, CA 93065-4050
Phone
(805) 583-0821
Fax
(805) 583-2743
NPI assigned
Apr 4, 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 MFC 30361 CA Primary

Addresses

Primary practice location

15 Vista Lago Dr
Suite L
Simi Valley, CA 93065-4050

Mailing address

15 Vista Lago Dr
Suite L
Simi Valley, CA 93065-4050
Phone (805) 583-0821

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
MFC 30361CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881716744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 VISTA LAGO DR",
            "address_2": "SUITE L",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930654050",
            "telephone_number": "805-583-0821",
            "fax_number": "805-583-2743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 VISTA LAGO DR",
            "address_2": "SUITE L",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930654050",
            "telephone_number": "805-583-0821",
            "fax_number": "805-583-2743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMLEY",
        "first_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "MA, MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 30361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, 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.