Active NPI
Golena Akhteh
- Marriage & Family Therapist
- Santa Monica, CA
National Provider Identifier
1063505618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 79999
- Practice address
- 3435 Ocean Park Blvd #207
Santa Monica, CA 90405-3314 - Phone
- (310) 392-9474
- Fax
- (310) 392-7341
- NPI assigned
- Oct 2, 2006
- Last updated
- Jul 1, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | ||
| Marriage & Family Therapist | 106H00000X | 79999 | CA | Primary |
Addresses
Primary practice location
3435 Ocean Park Blvd #207
Santa Monica, CA 90405-3314
Mailing address
1328 2ND St
Santa Monica, CA 90401-1122
Phone (310) 576-1308
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Step Up on Second Street Inc. | Past | Accepting new patients | |
| Step Up on Second Street, Inc. | 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 Step Up on Second-San Bernardino
- Community/Behavioral Health Agency
- San Bernardino, CA
- NPI 1285186353
-
dba Step Up on Second Street-FCCS Plus
- Community/Behavioral Health Agency
- Santa Monica, CA
- NPI 1891825451
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404172800000",
"number": "1063505618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1328 2ND ST",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904011122",
"telephone_number": "310-576-1308",
"fax_number": "310-576-1027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3435 OCEAN PARK BLVD #207",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904053314",
"telephone_number": "310-392-9474",
"fax_number": "310-392-7341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AKHTEH",
"first_name": "GOLENA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2014-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "79999",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.