Individual provider Active NPI

Erin Mokhtar, MFT

  • Marriage & Family Therapist
  • Woodland Hills, CA
National Provider Identifier
1215196126
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
43464 Issued in CA
Practice address
21825 Erwin St # 1122
Woodland Hills, CA 91367-3610
Phone
(818) 912-3634
NPI assigned
Jun 5, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 43464 CA Primary

Addresses

Primary practice location

21825 Erwin St # 1122
Woodland Hills, CA 91367-3610

Mailing address

4964 Olive Oak Way
Carmichael, CA 95608-5658
Phone (818) 912-3634

Other names 1

  • Erin Sutherland Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260108000454 CA Practitioner - Marriage and Family Therapist 1759867914 Practice locations: Carmichael, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4964 Olive Oak Way
Carmichael, CA 95608-5658
Phone (818) 912-3634

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
43464CAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1215196126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4964 OLIVE OAK WAY",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956085658",
            "telephone_number": "818-912-3634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21825 ERWIN ST # 1122",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913673610",
            "telephone_number": "818-912-3634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOKHTAR",
        "first_name": "ERIN",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-05",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "43464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "SUTHERLAND",
            "credential": "MFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Woodland Hills, CA

Sources for this page

Verify at the official NPI Registry.