JUSTINE MEDRANO
NPI 1477070506
Marriage & Family Therapist in North Hollywood, CA

Q: What is Justine Medrano's NPI number?

The NPI number for Justine Medrano is 1477070506. It was assigned to this individual provider in the NPPES registry on August 29, 2017.

Q: What is Justine Medrano's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Justine Medrano was last updated on April 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 29, 2017

6736 LAUREL CANYON BLVD STE 200, NORTH HOLLYWOOD, CA 91606(818) 755-8786(818) 755-8789 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 8, 2025, Jul 21, 2022, Oct 4, 2018 and 1 more (4 updates tracked since 2017).

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About Justine Medrano NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUSTINE MEDRANO (NPI 1477070506) is an individual marriage & family therapist in North Hollywood, California, licensed in California (122637) and active in the NPI registry since August 2017. She maintains a secondary practice location in Pacoima.

NPPES Registry Identity

NPI1477070506

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameJUSTINE MEDRANO

Location Address6736 LAUREL CANYON BLVD STE 200North Hollywood, CA 91606-1576

Mailing Address12450 Van Nuys Blvd Ste 200Pacoima, CA 91331-1393 · (818) 896-1161 · Fax (818) 896-5069

Phone(818) 755-8786

Fax(818) 755-8789

Sole ProprietorNo

Enumeration DateAugust 29, 2017

Last NPPES UpdateApril 8, 20254 updates tracked since enumeration

NPPES CertifiedApril 8, 2025

✔ NPI 1477070506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 122637

Definition

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.

6736 LAUREL CANYON BLVD STE 200, North Hollywood, CA 91606

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Secondary Practice Location 1

Location 112450 Van Nuys Blvd Ste 200Pacoima, CA 91331-1393 · Phone (818) 896-1161 ext. 325 · Fax (818) 896-5069

Other Identifiers 3

Medicaid6758CA

Medicaid7068CA

Medicaid7420CA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEON KODABAKSHIAN

Marriage & Family Therapist