Active NPI
Soheila Ferdowsian, LMFT
- Mental Health Counselor
- Anaheim, CA
National Provider Identifier
1124613120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 116006
- Practice address
- 1183 N Kraemer Blvd
Anaheim, CA 92806-1917 - Phone
- (657) 577-9227
- Fax
- (510) 756-0812
- NPI assigned
- Mar 2, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 116006 | CA | Primary |
Addresses
Primary practice location
1183 N Kraemer Blvd
Anaheim, CA 92806-1917
Mailing address
19618 Horst Ave
Cerritos, CA 90703-6937
Phone (562) 965-0855
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 |
|---|---|---|---|
| 116006 | CA | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614643200000",
"number": "1124613120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19618 HORST AVE",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907036937",
"telephone_number": "562-965-0855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1183 N KRAEMER BLVD",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928061917",
"telephone_number": "657-577-9227",
"fax_number": "510-756-0812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERDOWSIAN",
"first_name": "SOHEILA",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-02",
"last_updated": "2021-03-02",
"certification_date": "2021-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "116006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.