Individual provider Active NPI

Marybeth Simonton Crane, LMFT

  • Marriage & Family Therapist
  • Simi Valley, CA
National Provider Identifier
1952749145
Registry record updated May 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 52853 Issued in CA
Practice address
1227 E Los Angeles Ave
VCBH Adult Services
Simi Valley, CA 93065-2871
Phone
(805) 390-4528
Fax
(805) 426-4898
NPI assigned
Jun 10, 2013
Last updated
May 18, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2016

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 52853 CA Primary

Addresses

Primary practice location

1227 E Los Angeles Ave
VCBH Adult Services
Simi Valley, CA 93065-2871

Mailing address

225 Simi Village Dr
#940056
Simi Valley, CA 93094-7001
Phone (805) 390-4528

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

State licenses

LicenseStateTypeSpecialty
MFC 52853CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1370822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463529600000",
    "number": "1952749145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 SIMI VILLAGE DR",
            "address_2": "#940056",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930947001",
            "telephone_number": "805-390-4528",
            "fax_number": "805-426-4898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1227 E LOS ANGELES AVE",
            "address_2": "VCBH ADULT SERVICES",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930652871",
            "telephone_number": "805-390-4528",
            "fax_number": "805-426-4898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRANE",
        "first_name": "MARYBETH",
        "middle_name": "SIMONTON",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-10",
        "last_updated": "2016-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 52853",
            "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 May 18, 2016; 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.