Provider Demographics
NPI:1811529308
Name:EMERY, MEGAN (MA, LMFT, LPCC, LPC)
Entity type:Individual
Prefix:MS
First Name:MEGAN
Middle Name:
Last Name:EMERY
Suffix:
Gender:F
Credentials:MA, LMFT, LPCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:190 S SANTA ROSA ST
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93001-3433
Mailing Address - Country:US
Mailing Address - Phone:805-267-0807
Mailing Address - Fax:888-972-4587
Practice Address - Street 1:1068 E MAIN ST STE 140C
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93001-5045
Practice Address - Country:US
Practice Address - Phone:805-267-0807
Practice Address - Fax:888-972-4587
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-12
Last Update Date:2021-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA49429106H00000X
CA549101YM0800X
ORC2774101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health