Active NPI
Lucine Khachtourians, MA, LMFT124909
- Marriage & Family Therapist
- Mission Hills, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 124909
- Practice address
- 10200 Sepulveda Blvd Ste 170
Mission Hills, CA 91345-3322 - Phone
- (818) 895-9707
- NPI assigned
- Nov 28, 2016
- Last updated
- Oct 3, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | NU | ||
| Marriage & Family Therapist | 106H00000X | 124909 | CA | Primary |
Addresses
Primary practice location
10200 Sepulveda Blvd Ste 170
Mission Hills, CA 91345-3322
Mailing address
10200 Sepulveda Blvd Ste 170
Mission Hills, CA 91345-3322
Phone (818) 895-9707
Other practice location 1
4900 Serrania Ave
Woodland Hills, CA 91364
Phone (818) 347-1577
Other practice location 2
4900 Serrania Ave
Woodland Hills, CA 91364
Phone (818) 347-1577
Other practice location 3
470 E 3rd St Ste C
Los Angeles, CA 90013-1630
Phone (213) 620-5712
Other practice location 4
8111 Gentry Ave
North Hollywood, CA 91605-1529
Phone (747) 258-5896
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114460920 | Medicaid | CA |
Other names 1
- Lucine Yeremyan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Soultenders, Inc. | Mental Health | Current | Accepting new patients |
Locations
41 E Foothill Blvd
Ste 102
Arcadia, CA 91006
Phone (626) 701-4249
245 E Olive Ave
Ste 400
Burbank, CA 91502
Phone (818) 823-6677
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696291200000",
"number": "1114460920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10200 SEPULVEDA BLVD STE 170",
"city": "MISSION HILLS",
"state": "CA",
"postal_code": "913453322",
"telephone_number": "818-895-9707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10200 SEPULVEDA BLVD STE 170",
"city": "MISSION HILLS",
"state": "CA",
"postal_code": "913453322",
"telephone_number": "818-895-9707"
}
],
"practiceLocations": [
{
"address_1": "4900 Serrania Ave",
"address_purpose": "LOCATION",
"city": "Woodland Hills",
"state": "CA",
"postal_code": "91364",
"country_code": "US",
"telephone_number": "818-347-1577",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4900 Serrania Ave",
"address_purpose": "LOCATION",
"city": "Woodland Hills",
"state": "CA",
"postal_code": "91364",
"country_code": "US",
"telephone_number": "818-347-1577",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "470 E 3rd St Ste C",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900131630",
"country_code": "US",
"telephone_number": "213-620-5712",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8111 Gentry Ave",
"address_purpose": "LOCATION",
"city": "North Hollywood",
"state": "CA",
"postal_code": "916051529",
"country_code": "US",
"telephone_number": "747-258-5896",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHACHTOURIANS",
"first_name": "LUCINE",
"credential": "MA, LMFT124909",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-11-28",
"last_updated": "2023-10-03",
"certification_date": "2023-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "124909",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1114460920",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LUCINE",
"last_name": "YEREMYAN",
"credential": "MA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Mission Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.