Individual provider Active NPI

Nirinjan Khalsa

  • Marriage & Family Therapist
  • Agoura Hills, CA
National Provider Identifier
1225987498
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
153583 Issued in CA
Practice address
30200 Agoura Rd Ste 190
Agoura Hills, CA 91301-5431
Phone
(818) 981-7845
NPI assigned
Jan 22, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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 153583 CA Primary

Addresses

Primary practice location

30200 Agoura Rd Ste 190
Agoura Hills, CA 91301-5431

Mailing address

14622 Ventura Blvd # 568
Sherman Oaks, CA 91403-3600

Other practice location 1

5550 Topanga Canyon Blvd Ste 300
Woodland Hills, CA 91367-7448
Phone (818) 971-9414

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
153583CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jaime Elizabeth Medvene PHD a Professional Psychological Corpora PastSince Oct 6, 2012 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1769040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769040000000",
    "number": "1225987498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14622 VENTURA BLVD # 568",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30200 AGOURA RD STE 190",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913015431",
            "telephone_number": "818-981-7845"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5550 Topanga Canyon Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Woodland Hills",
            "state": "CA",
            "postal_code": "913677448",
            "country_code": "US",
            "telephone_number": "818-971-9414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHALSA",
        "first_name": "NIRINJAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-22",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "153583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Agoura Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; 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.