Individual provider Active NPI

Ara William Harutunian I, CATC 1

  • Addiction (Substance Use Disorder) Counselor
  • Van Nuys, CA
National Provider Identifier
1134819279
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
21134631 Issued in CA
Practice address
6265 Sepulveda Blvd Ste 9
Van Nuys, CA 91411-1126
Phone
(213) 298-4146
NPI assigned
May 11, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 21134631 CA Primary

Addresses

Primary practice location

6265 Sepulveda Blvd Ste 9
Van Nuys, CA 91411-1126

Mailing address

6265 Sepulveda Blvd Ste 9
Van Nuys, CA 91411-1126
Phone (818) 779-0555

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
21134631CAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1683763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1134819279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6265 SEPULVEDA BLVD STE 9",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914111126",
            "telephone_number": "818-779-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6265 SEPULVEDA BLVD STE 9",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914111126",
            "telephone_number": "213-298-4146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARUTUNIAN",
        "first_name": "ARA",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "name_suffix": "I",
        "credential": "CATC 1",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-11",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "21134631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; 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.