Individual provider Active NPI

Lucine Khachtourians, MA, LMFT124909

  • Marriage & Family Therapist
  • Mission Hills, CA
National Provider Identifier
1114460920
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
124909 Issued in CA
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1114460920MedicaidCA

Other names 1

  • Lucine Yeremyan Former name

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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Soultenders, Inc. Mental Health CurrentSince Jul 4, 2026 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

Verify at the official NPI Registry.