Healthcare Provider Details

I. General information

NPI: 1558214833
Provider Name (Legal Business Name): MONTEVERDI INDIVIDUAL, FAMILY, AND COUPLE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/17/2026
Last Update Date: 02/17/2026
Certification Date: 02/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2277 TOWNSGATE RD STE 208
WESTLAKE VILLAGE CA
91361-2420
US

IV. Provider business mailing address

2277 TOWNSGATE RD STE 208
WESTLAKE VILLAGE CA
91361-2420
US

V. Phone/Fax

Practice location:
  • Phone: 909-489-9181
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: JONATHAN VERA MONTEVERDI
Title or Position: CEO
Credential: LCSW
Phone: 909-489-9181