MEDICARE: WESTLAKE MARRIAGE AND FAMILY THERAPY AND CONSULTATION, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1154014546	OTHER	CA	GROUP NPI

General Provider Information

NPI Number	:	1154014546
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WESTLAKE MARRIAGE AND FAMILY THERAPY AND CONSULTATION, INC.

Provider Business Mailing Address
First Line	:	1 BOARDWALK AVE STE 210
Second Line	:
City	:	THOUSAND OAKS
State	:	CA
Zip	:	91360-5766
Country	:	US
Telephone Number	:	805-229-1826
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 BOARDWALK AVE STE 210
Second Line	:
City	:	THOUSAND OAKS
State	:	CA
Zip	:	91360-5766
Country	:	US
Telephone Number	:	805-229-1826
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ASHLEY CARSON
Credential	:	MS, LMFT 139168
Telephone Number	:	805-229-1826

Provider Enumeration Date	:	05/31/2023
Last Update Date	:	09/02/2025

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