Active NPI
Anet Khechoumian, LMFT
- Marriage & Family Therapist
- Long Beach, CA
National Provider Identifier
1104122704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT88926
- Practice address
- 731 E 4TH Street
Suite 3
Long Beach, CA 90802-2606 - Phone
- (818) 521-0602
- NPI assigned
- Jan 31, 2011
- 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 | LMFT88926 | CA | |
| Marriage & Family Therapist | 106H00000X | LMFT88926 | CA | Primary |
Addresses
Primary practice location
731 E 4TH Street
Suite 3
Long Beach, CA 90802-2606
Mailing address
731 E 4TH Street
Suite 3
Long Beach, CA 90802-2606
Phone (818) 521-0602
Other practice location 1
18305 Sherman Way # 31
Reseda, CA 91335-4425
Phone (818) 254-9794
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LMFT88926 | Other | CA | BBS |
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 |
|---|---|---|---|
| LMFT88926 | CA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Net Therapy | Mental Health | Current | Accepting new patients |
| Dr Orkideh Csukay Inc, a Psychological Corporation | 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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Reseda, CA
- NPI 1104168723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610496000000",
"number": "1104122704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "731 E 4TH STREET",
"address_2": "SUITE 3",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908022606",
"telephone_number": "818-521-0602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "731 E 4TH STREET",
"address_2": "SUITE 3",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908022606",
"telephone_number": "818-521-0602"
}
],
"practiceLocations": [
{
"address_1": "18305 Sherman Way # 31",
"address_purpose": "LOCATION",
"city": "Reseda",
"state": "CA",
"postal_code": "913354425",
"country_code": "US",
"telephone_number": "818-254-9794",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHECHOUMIAN",
"first_name": "ANET",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-31",
"last_updated": "2021-01-13",
"certification_date": "2021-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "LMFT88926",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT88926",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BBS",
"identifier": "LMFT88926",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.