Individual provider Active NPI

Sharon Anne Benjamin, MFT

  • Marriage & Family Therapist
  • Burbank, CA
National Provider Identifier
1881822666
Registry record updated Apr 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
40694 Issued in CA
Practice address
210 N Pass Ave Ste 105
Burbank, CA 91505-3936
Phone
(818) 429-5932
NPI assigned
Jun 30, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2024

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 40694 CA Primary

Addresses

Primary practice location

210 N Pass Ave Ste 105
Burbank, CA 91505-3936

Mailing address

1812 W Burbank Blvd # 7237
Burbank, CA 91506-1315
Phone (818) 429-5932

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251106002952 CA Practitioner - Marriage and Family Therapist 9739679960 Practice locations: Sherman Oaks, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Sherman Oaks, CA 91423
Phone (818) 429-5932

14155 Magnolia Blvd
Apt 18
Sherman Oaks, CA 91423-1101

14155 Magnolia Blvd Apt
Suite 18
Sherman Oaks, CA 91423-1142

1812 W Burbank Blvd
Suite 7237
Burbank, CA 91506-1315

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712361600000",
    "number": "1881822666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 W BURBANK BLVD # 7237",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915061315",
            "telephone_number": "818-429-5932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N PASS AVE STE 105",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915053936",
            "telephone_number": "818-429-5932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENJAMIN",
        "first_name": "SHARON",
        "middle_name": "ANNE",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-30",
        "last_updated": "2024-04-06",
        "certification_date": "2024-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "40694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.