Active NPI
Rita Balakhane, LMFT
- Marriage & Family Therapist
- W Los Angeles, CA
National Provider Identifier
1003169228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT40420
- 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, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT40420 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
-
dba Wilshire Therapy Center
- Marriage & Family Therapist
- Los Angeles, CA
- NPI 1124449889
-
- Marriage & Family Therapist
- Los Angeles, CA
- NPI 1427386374
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.