Individual provider Active NPI

Sheree Lynne Jones-Pistol, LMFT

  • Marriage & Family Therapist
  • Northridge, CA
National Provider Identifier
1992953475
Registry record updated Jun 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC36905 Issued in CA
Practice address
9003 Reseda Blvd Ste 206
Northridge, CA 91324-3961
Phone
(818) 705-5652
Fax
(818) 705-7876
NPI assigned
Sep 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2022

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 MFC36905 CA Primary

Addresses

Primary practice location

9003 Reseda Blvd Ste 206
Northridge, CA 91324-3961

Mailing address

18375 Ventura Boulevard
Suite 309
Tarzana, CA 91356
Phone (818) 705-5652

Other identifiers 1

IdentifierTypeStateIssuer
369050OtherBLUE SHIELD

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
I20240614001231 CA Practitioner - Marriage and Family Therapist 7719420009 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFC36905CAMDMarriage & Family Therapist
36905CAMDNeurology Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sheree Jones-Pistol, a Marriage and Family Therapy Corporation Marriage & Family Therapist CurrentSince Apr 26, 2024 Accepting new patients

Locations

9003 Reseda Blvd
Ste 206
Northridge, CA 91324
Phone (818) 231-8763

18375 Ventura Blvd
Tarzana, CA 91356
Phone (818) 422-5322

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.

NPI Registry JSON

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

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654387200000",
    "number": "1992953475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18375 VENTURA BOULEVARD",
            "address_2": "SUITE 309",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "91356",
            "telephone_number": "818-705-5652",
            "fax_number": "818-705-7876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9003 RESEDA BLVD STE 206",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913243961",
            "telephone_number": "818-705-5652",
            "fax_number": "818-705-7876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES-PISTOL",
        "first_name": "SHEREE",
        "middle_name": "LYNNE",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-09",
        "last_updated": "2022-06-05",
        "certification_date": "2022-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC36905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "369050",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

Verify at the official NPI Registry.