Individual provider Active NPI

Sera Khaneshan

  • Marriage & Family Therapist
  • Glendale, CA
National Provider Identifier
1194525519
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
AMFT151961 Issued in CA
Practice address
700 N Central Ave Ste 340
Glendale, CA 91203-4238
Phone
(818) 649-2921
NPI assigned
Mar 14, 2025
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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
AMFT151961CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Endzone, a Marriage and Family Therapy Corporation CurrentSince Jun 23, 2025 Accepting new patients
The Journey Forward, Licensed Marriage and Family Therapy , Inc. Marriage & Family Therapist PastSince Mar 1, 2025 Accepting new patients

Locations

700 N Central Ave
Ste 340
Glendale, CA 91203
Phone (818) 275-8411

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X AMFT151961 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

700 N Central Ave Ste 340
Glendale, CA 91203-4238

Mailing address

460 E Santa Anita Ave Apt 106
Burbank, CA 91501-2985
Phone (818) 484-6671

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 20, 2025.

{
    "created_epoch": "1741910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750377600000",
    "number": "1194525519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 E SANTA ANITA AVE APT 106",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915012985",
            "telephone_number": "818-484-6671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N CENTRAL AVE STE 340",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912034238",
            "telephone_number": "818-649-2921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHANESHAN",
        "first_name": "SERA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-14",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT151961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; 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.