Alessa Marie Barsuglia

Individual provider Active NPI Marriage & Family Therapist · Woodland Hills, CA

NPI 1952609166 · NPPES record last updated Feb 9, 2012

Key facts

NPI
1952609166
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
MFC # 51053 (CA)
Practice address
22466 Ventura Blvd
Woodland Hills, CA 91364-1523
Phone
(818) 676-1540
Fax
(818) 676-1542
NPI assigned
Mar 11, 2011
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
MFC # 51053CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
A Beautiful Life Psychology Group Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC # 51053 CA Yes

Addresses

Primary practice location

22466 Ventura Blvd
Woodland Hills, CA 91364-1523

Mailing address

22466 Ventura Blvd
Woodland Hills, CA 91364-1523
Phone (818) 676-1540

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 9, 2012.

{
    "created_epoch": "1299801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328745600000",
    "number": "1952609166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22466 VENTURA BLVD",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641523",
            "telephone_number": "818-676-1540",
            "fax_number": "818-676-1542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22466 VENTURA BLVD",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641523",
            "telephone_number": "818-676-1540",
            "fax_number": "818-676-1542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARSUGLIA",
        "first_name": "ALESSA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-11",
        "last_updated": "2012-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC # 51053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

All providers in Woodland Hills, CA · Marriage & Family Therapist in California

Sources for this page

Verify at the official NPI Registry.