Individual provider Active NPI

Blanche R McWane, MFCC

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1972637924
Registry record updated Jun 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC27969 Issued in CA
Practice address
116 N Robertson Blvd Ste 806
Los Angeles, CA 90048
Phone
(805) 705-4893
NPI assigned
Mar 14, 2007
Last updated
Jun 28, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2018

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 MFC27969 CA Primary

Addresses

Primary practice location

116 N Robertson Blvd Ste 806
Los Angeles, CA 90048

Mailing address

116 N Robertson Blvd Ste 806
Los Angeles, CA 90048-3111
Phone (805) 705-4893

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
27969CAMDClinical Social Worker
MFC27969CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530144000000",
    "number": "1972637924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 N ROBERTSON BLVD STE 806",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900483111",
            "telephone_number": "805-705-4893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 N ROBERTSON BLVD STE 806",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90048",
            "telephone_number": "805-705-4893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCWANE",
        "first_name": "BLANCHE",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "MFCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2018-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC27969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.