Individual provider Active NPI

Jennie Marie Battistin, LMFT

  • Marriage & Family Therapist
  • Burbank, CA
National Provider Identifier
1932647526
Registry record updated Mar 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT80423 Issued in CA
Practice address
1201 S Victory Blvd Ste 206
Burbank, CA 91502-2793
Phone
(747) 271-2701
Fax
(310) 693-5384
NPI assigned
Feb 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2023

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 LMFT80423 CA Primary

Addresses

Primary practice location

1201 S Victory Blvd Ste 206
Burbank, CA 91502-2793

Mailing address

1201 S Victory Blvd Ste 206
Burbank, CA 91502-2793
Phone (747) 271-2701

Other names 1

  • Jennie Marie Norgaard Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 6, 2024 through Jan 6, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LMFT80423CAMDMarriage & Family Therapist
80423CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Therapy Community Counseling Center Inc Current Accepting new patients

Locations

1201 S Victory Blvd
Ste 206
Burbank, CA 91502
Phone (310) 853-3638

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1486080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677801600000",
    "number": "1932647526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 S VICTORY BLVD STE 206",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915022793",
            "telephone_number": "747-271-2701",
            "fax_number": "310-693-5384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S VICTORY BLVD STE 206",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915022793",
            "telephone_number": "747-271-2701",
            "fax_number": "310-693-5384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATTISTIN",
        "first_name": "JENNIE MARIE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-03",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT80423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIE MARIE",
            "last_name": "NORGAARD",
            "credential": "LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.