MS. MARJORIE EILEEN FAGAN (NPI# 1306314570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306314570 |
| Entity Type | Individual |
| Full Name | MS. MARJORIE EILEEN FAGAN |
| Credential | MA LMFT |
| Practice Address |
860 Hampshire Rd Ste L Westlake Village CA 91361-6017 |
| Mailing Address |
29719 Mulholland Hwy Agoura CA 91301-3005 |
| Practice Telephone | 8053007570 |
| Mailing Telephone | 8053007570 |
| Enumeration Date | 2018-11-06 |
| Last Update Date | 2018-11-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 109701 | CA | Behavioral Health & Social Service Providers |
| Street Address |
860 HAMPSHIRE RD STE L |
| City | WESTLAKE VILLAGE |
| State | CA |
| Zip Code | 91361-6017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093328379 | Lauren Kaprielian Davidson | Speech-Language Pathologist | Fox Therapy Services, 31822 Village Center Rd, Ste. 107, Westlake Village, CA 91361 | 2020-08-26 |
| 1679118749 | Min A Baek | Optometrist | 4353 Park Terrace Dr., #150, Westlake Village, CA 91361 | 2019-11-13 |
| 1417429952 | Kimberly Joanne Yudt | Behavioral Analyst | 660 Hampshire Road, Suite 100, Westlake Village, CA 91361 | 2018-12-21 |
| 1932671773 | Rachel Sonya Chistyakov | Marriage & Family Therapist | 32107 Undero Canyon Rd, Suite 203, Westlake Village, CA 91361 | 2018-12-18 |
| 1447778394 | Spirit Healthcare Hospice, Inc. | Hospice Care, Community Based | 30941 Agoura Rd., Suite 112, Westlake Village, CA 91361 | 2017-08-30 |
| 1023556313 | Lindsay Gooze | Marriage & Family Therapist | 38122 Village Center Rd., Ste.102, Westlake Village, CA 91361 | 2017-02-07 |
| 1851839419 | Casey J. Simon | Counselor | 1800 Bridgegate Street, Suite #108, Westlake Village, CA 91361 | 2017-02-03 |
| 1689124851 | David Schwartz | Marriage & Family Therapist | 30961 Agoura Rd Ste 215, Westlake Village, CA 91361 | 2016-10-11 |
| 1932655735 | Sherry Safavi | Counselor | 677 Colorado Blivd, Los Angeles, CA 91361 | 2016-08-31 |
| 1053795393 | Kashmir Trading Inc. | Durable Medical Equipment & Medical Supplies | 790 Hampshire Rd. Ste #b, Westlake Village, CA 91361 | 2015-07-16 |
| Find all providers in zip 91361 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861019051 | Melinda Meyers | Marriage & Family Therapist | 1764 Classic Rose Ct, Westlake Village, CA 91362-5134 | 2020-07-03 |
| 1225658834 | Mary Claire Mcdonald | Marriage & Family Therapist | 4591 Club View Dr, Westlake Village, CA 91362-4347 | 2020-04-23 |
| 1780213827 | Jennifer T Elder | Marriage & Family Therapist | 2815 Townsgate Rd Ste 115, Westlake Village, CA 91361-5826 | 2020-04-01 |
| 1659831899 | Katie Busse | Marriage & Family Therapist | 650 Hampshire Rd Ste 210, Westlake Village, CA 91361-2542 | 2019-03-22 |
| 1932671773 | Rachel Sonya Chistyakov | Marriage & Family Therapist | 32107 Undero Canyon Rd, Suite 203, Westlake Village, CA 91361 | 2018-12-18 |
| 1952822629 | Jessica Morris | Marriage & Family Therapist | 5743 Corsa Ave Ste 114, Westlake Village, CA 91362-4072 | 2017-07-03 |
| 1699214601 | Lacey Rae Latka | Marriage & Family Therapist | 1800 Bridgegate St, #108, Westlake Village, CA 91361-1448 | 2017-02-23 |
| 1497294953 | Tiffany Shah | Marriage & Family Therapist | 128 Auburn Ct Ste 106, Westlake Village, CA 91362 | 2017-02-16 |
| 1336687409 | Elizabeth Shonafelt | Marriage & Family Therapist | 5655 Lindero Canyon Rd Ste 401, Westlake Village, CA 91362-4046 | 2017-02-08 |
| 1023556313 | Lindsay Gooze | Marriage & Family Therapist | 38122 Village Center Rd., Ste.102, Westlake Village, CA 91361 | 2017-02-07 |
| Find all providers in WESTLAKE VILLAGE | ||||
| City | WESTLAKE VILLAGE |
| Zip Code | 91361 |
Please comment or provide details below to improve the information on MS. MARJORIE EILEEN FAGAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.