Active NPI
Muna Farhat, LMFT
- Counseling Psychologist
- Rescue, CA
National Provider Identifier
1114786258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 107073
- Practice address
- 3533 Lambeth Dr
Rescue, CA 95672-9391 - Phone
- (669) 239-7435
- NPI assigned
- Mar 18, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 107073 | CA | Primary |
Addresses
Primary practice location
3533 Lambeth Dr
Rescue, CA 95672-9391
Mailing address
1702 Meridian Ave Unit L260
San Jose, CA 95125-5592
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 |
|---|---|---|---|
| 107073 | CA | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710720000000",
"number": "1114786258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1702 MERIDIAN AVE UNIT L260",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951255592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3533 LAMBETH DR",
"city": "RESCUE",
"state": "CA",
"postal_code": "956729391",
"telephone_number": "669-239-7435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARHAT",
"first_name": "MUNA",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-18",
"last_updated": "2024-03-18",
"certification_date": "2024-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "CA",
"license": "107073",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rescue, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.