Individual provider Active NPI

Rita Balakhane, LMFT

  • Marriage & Family Therapist
  • W Los Angeles, CA
National Provider Identifier
1003169228
Registry record updated Dec 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT40420 Issued in CA
Practice address
2001 S Barrington Ave Ste 203
W Los Angeles, CA 90025-5385
Phone
(310) 850-6926
NPI assigned
Oct 25, 2012
Last updated
Dec 19, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT40420 CA Primary

Addresses

Primary practice location

2001 S Barrington Ave Ste 203
W Los Angeles, CA 90025-5385

Mailing address

324 N Palm Dr Unit 402
Beverly Hills, CA 90210-4190
Phone (310) 850-6926

Other practice location 1

6399 Wilshire Blvd Ste 312
Los Angeles, CA 90048-5706
Phone (323) 651-5828

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LMFT40420CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific West Counseling Center Inc Marriage & Family Therapist Past Accepting new patients
Wilshire Valley Therapy Center Marriage & Family Therapist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1351123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545177600000",
    "number": "1003169228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 N PALM DR UNIT 402",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104190",
            "telephone_number": "310-850-6926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S BARRINGTON AVE STE 203",
            "city": "W LOS ANGELES",
            "state": "CA",
            "postal_code": "900255385",
            "telephone_number": "310-850-6926"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6399 Wilshire Blvd Ste 312",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900485706",
            "country_code": "US",
            "telephone_number": "323-651-5828",
            "fax_number": "323-651-5836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALAKHANE",
        "first_name": "RITA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-25",
        "last_updated": "2018-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT40420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in W Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.