Xiaodan Helen Altenbach, AMFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

132673 Issued in CA

Practice address

1225 Cypress Ave
Ste 3 #V203
Los Angeles, CA 90065

Phone

(818) 641-5883

NPI assigned

Jun 30, 2022

Last updated

Jun 30, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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.

Opted out of Medicare

Yes, effective Jun 4, 2024 through Jun 4, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1656547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1124750732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 CYPRESS AVE",
            "address_2": "STE 3 #V203",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90065",
            "telephone_number": "818-641-5883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 CYPRESS AVE",
            "address_2": "STE 3 #V203",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90065",
            "telephone_number": "818-641-5883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTENBACH",
        "first_name": "XIAODAN",
        "middle_name": "HELEN",
        "credential": "AMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-30",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "132673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.blancobehavioralhealth.com/about",
            "affiliation": "Y",
            "affiliationName": "Wendy Blanco Behavioral Health Consulting, LLC",
            "address_1": "13433 Olive Dr",
            "city": "Whittier",
            "state": "CA",
            "country_code": "US",
            "postal_code": "906014402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sebastian A Altamirano, D.C.
• Lauren Altaweel
• Altegra Health Connections, LLC
• Derek William Altema
• Lisa Marie Altemus, M.A., LMFT
• Marie Rose Altendahl
• Brannon Yap Altenhofen, MD
• Alan D Alter, M.D.
• Cassi Alter, MA-CCC
• Eden Alter

• Mental Health Counselor in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.