Individual provider Active NPI

Christen Zoccolante

  • Marriage & Family Therapist
  • Malibu, CA
National Provider Identifier
1972014348
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
129680 Issued in CA
Practice address
24903 Pacific Coast Hwy Ste 102
Malibu, CA 90265-4734
Phone
(310) 310-9249
NPI assigned
Oct 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 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 129680 CA Primary

Addresses

Primary practice location

24903 Pacific Coast Hwy Ste 102
Malibu, CA 90265-4734

Mailing address

24903 Pacific Coast Hwy Ste 102
Malibu, CA 90265-4734
Phone (310) 310-9249

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
129680CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of California, P.C. CurrentSince Jan 28, 2024 Accepting new patients
Los Angeles Centers for Alcohol and Drug Abuse Past Accepting new patients

Locations

24903 Pacific Coast Hwy
Ste 102
Malibu, CA 90265
Phone (310) 310-9249

Organizations & group practices 2

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": "1507766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1972014348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24903 PACIFIC COAST HWY STE 102",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902654734",
            "telephone_number": "310-310-9249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24903 PACIFIC COAST HWY STE 102",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902654734",
            "telephone_number": "310-310-9249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOCCOLANTE",
        "first_name": "CHRISTEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-12",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "129680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malibu, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; 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.