Tara Yasmeen Khadr

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

125696 Issued in CA

Practice address

16055 Ventura Blvd Ste 1010
Encino, CA 91436-2611

Phone

(818) 404-0459

NPI assigned

Jul 10, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Foresight Mental Health

  • Counselor
  • Sacramento, CA
  • NPI 1902390537

  Marriage & Family Therapist

  NPD (past)
• Glendale Unified School District

  • Local Education Agency (LEA)
  • Glendale, CA
  • NPI 1497897292
  NPD (past)

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

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1033761069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16055 VENTURA BLVD",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16055 VENTURA BLVD STE 1010",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362611",
            "telephone_number": "818-404-0459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHADR",
        "first_name": "TARA",
        "middle_name": "YASMEEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-10",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "125696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ezra Kest, MD
• Kristina Keyes
• Keyvan Shirazi, MD
• Keyvan Shirazi, MD
• Jason Khadavi, D.P.M.
• Farrah Khaleghi Aizenman, PSY.D.
• Mohammad Khaleghi, DDS
• Ashley Khalepari
• Naguib Khan, M.D.
• Christin Khanbabaian

• Marriage & Family Therapist in Encino, CA
• Providers in Encino, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.