Danielle Mitock, LICENSED MFT in Van Nuys, CA - Medicare Marriage & Family Therapist Provider

Danielle Mitock, LICENSED MFT is a medicare enrolled "Marriage & Family Therapist" provider in Van Nuys, California. Her current practice location is 14515 Hamlin St, Suite 102, Van Nuys, California. You can reach out to her office (for appointments etc.) via phone at (818) 989-7475.

Danielle Mitock is licensed to practice in California (license number 112423) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1902228000.

Contact Information

	Danielle Mitock, LICENSED MFT
	14515 Hamlin St, Suite 102, Van Nuys, CA 91411-1608
	(818) 989-7475
	(818) 908-2434

Map and Direction

Healthcare Provider's Profile

Full Name	Danielle Mitock
Gender	Female
Speciality	Marriage & Family Therapist
Location	14515 Hamlin St, Van Nuys, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902228000
Provider Enumeration Date: 01/09/2014
Last Update Date: 04/01/2019

Medicare PECOS Information:

PECOS PAC ID: 9537501853
Enrollment ID: I20240531000771

Medical Identifiers

Medical identifiers for Danielle Mitock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902228000	NPI	-	NPPES
7708	Other	CA	MEDI-CAL
7184	Other	CA	MEDI-CAL
7368	Other	CA	MEDI-CAL
7667	Other	CA	MEDI-CAL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	112423 (California)	Primary
106H00000X	Marriage & Family Therapist	75781 (California)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Danielle Mitock allows following entities to bill medicare on her behalf.

Entity Name	Forward Wellness Family Therapy Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093398059 PECOS PAC ID: 9739546144 Enrollment ID: O20230530002815

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Danielle Mitock is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Danielle Mitock, LICENSED MFT 14515 Hamlin St, Suite 102, Van Nuys, CA 91411-1608 Ph: (818) 989-7475	Danielle Mitock, LICENSED MFT 14515 Hamlin St, Suite 102, Van Nuys, CA 91411-1608 Ph: (818) 989-7475

Reviews and Comments

Marriage & Family Therapist in Van Nuys, CA

Kristyn Mason, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 16360 Roscoe Blvd Unit 2, Van Nuys, CA 91406 Phone: 818-901-4830
Mrs. Tannaz Separzadeh, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 15339 Saticoy St, Van Nuys, CA 91406 Phone: 818-267-2600
Gayle Elise Arst, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 14640 Victory Blvd, #100, Van Nuys, CA 91411 Phone: 818-374-6901 Fax: 818-374-6908
Frances Lucille Bennett, LMFT124984 Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 14535 Sherman Cir, Van Nuys, CA 91405 Phone: 818-901-4930
Mrs. Glenda Josefina Moghim, MFTI Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 6850 Van Nuys Blvd Ste 202, Van Nuys, CA 91405 Phone: 818-786-2079
Mr. Robert Florentino Abad Pascual, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 16650 Sherman Way, Van Nuys, CA 91406 Phone: 818-901-4836
Hyun Kyung Carol Sim, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 15350 Sherman Way Ste 200, Van Nuys, CA 91406 Phone: 818-267-1100

Danielle Mitock, LICENSED MFT - Medicare Couples Therapy in Van Nuys, CA