Nicole Barkhordari

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

111777 Issued in CA

Practice address

5743 Corsa Ave
Suite 112
Westlake Village, CA 91362-4027

Phone

(805) 265-9500

NPI assigned

Sep 25, 2016

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

State licenses

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

{
    "created_epoch": "1474761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572393600000",
    "number": "1104375609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5743 CORSA AVE",
            "address_2": "SUITE 112",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913624027",
            "telephone_number": "805-410-3193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5743 CORSA AVE",
            "address_2": "SUITE 112",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913624027",
            "telephone_number": "805-265-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARKHORDARI",
        "first_name": "NICOLE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-25",
        "last_updated": "2019-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "111777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carly Rose Banton
• Nicole M Banuelos, OTR/L
• Deborah Sue Barber, PH.D.
• Lysandra Barboza
• Elizabeth Paige Barham
• Barry Barmann, PH.D.
• Mary Barmann, MFT
• Louise Barnett, PSY.D.
• James Murray Barrass, D.C.
• Kelly A Barreca-Fish, MA AMFT APCC

• Marriage & Family Therapist in Westlake Village, CA
• Providers in Westlake Village, 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 Oct 30, 2019; 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.