Individual provider Active NPI

Nancy Raquel Ludwig

  • Marriage & Family Therapist
  • Woodland Hills, CA
National Provider Identifier
1992203228
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
134273 Issued in CA
Practice address
21869 Woodland Crest Dr
Woodland Hills, CA 91364-5252
Phone
(818) 378-5805
NPI assigned
Feb 1, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 83818 CA
Marriage & Family Therapist 106H00000X 134273 CA Primary

Addresses

Primary practice location

21869 Woodland Crest Dr
Woodland Hills, CA 91364-5252

Mailing address

21869 Woodland Crest Dr
Woodland Hills, CA 91364-5252
Phone (818) 378-5805

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251023003560 CA Practitioner - Marriage and Family Therapist 0941798607 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Blue Psychological ServicesGroup PAC ID 3678908357, 23 clinicians

Practice addresses (Care Compare)

15235 Burbank Blvd
Suite A2
Sherman Oaks, CA 91411-3555
Phone (310) 306-0335

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
134273CAMDMarriage & Family Therapist
83818CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Los Angeles County Department of Public Health Current Accepting new patients
Pacific Blue Psychological Services CurrentSince Oct 1, 2025 Accepting new patients

Locations

3570 E Imperial Hwy
Lynwood, CA 90262
Phone (858) 883-3277

15235 Burbank Blvd
Ste A2
Van Nuys, CA 91411
Phone (949) 504-1963

Interoperability endpoints

  • Direct secure messaging: nancyludwig-tarzanatreatmentcenter@lacsapc.netsmartdirect.net

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": "1517443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1992203228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21869 WOODLAND CREST DR",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913645252",
            "telephone_number": "818-378-5805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21869 WOODLAND CREST DR",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913645252",
            "telephone_number": "818-378-5805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUDWIG",
        "first_name": "NANCY",
        "middle_name": "RAQUEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-01",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "83818",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "134273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

Verify at the official NPI Registry.