Individual provider Active NPI

Soheila Ferdowsian, LMFT

  • Mental Health Counselor
  • Anaheim, CA
National Provider Identifier
1124613120
Registry record updated Mar 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
116006 Issued in CA
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

Updated by the provider on Mar 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
116006CAMDDiagnostic 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.

Verify at the official NPI Registry.