Active NPI
Jennie Marie Battistin, LMFT
- Marriage & Family Therapist
- Burbank, CA
National Provider Identifier
1932647526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT80423
- 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
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 |
|---|---|---|---|---|
| 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
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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT80423 | CA | MD | Marriage & Family Therapist |
| 80423 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Nurse Practitioner
- Burbank, CA
- NPI 1619745585
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.