Individual provider Active NPI

Vardui Jingozian, LMFT

  • Marriage & Family Therapist
  • Granada Hills, CA
National Provider Identifier
1235675349
Registry record updated Dec 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT97722 Issued in CA
Practice address
10646 Zelzah Ave Ste 207
Granada Hills, CA 91344-5959
Phone
(818) 554-2600
Fax
(888) 728-4572
NPI assigned
Jan 12, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2018

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 LMFT97722 CA Primary

Addresses

Primary practice location

10646 Zelzah Ave Ste 207
Granada Hills, CA 91344-5959

Mailing address

1209 N Central Ave
Suite 201
Glendale, CA 91202-3180
Phone (818) 554-2600

Other practice location 1

11239 Tampa Ave
Suite 206
Northridge, CA 91326-1615
Phone (818) 554-2600

Other practice location 2

2489 Tapo St
Simi Valley, CA 93063-2453
Phone (818) 554-2600

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
LMFT97722CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Inspire Counseling Group, Marriage and Family Therapy Corp. Marriage & Family Therapist CurrentSince May 7, 2023 Accepting new patients

Locations

1209 N Central Ave
Ste 201
Glendale, CA 91202

10718 White Oak Ave
Ste 6
Granada Hills, CA 91344
Phone (818) 554-2600

10646 Zelzah Ave
Ste 207
Granada Hills, CA 91344
Phone (818) 356-4327

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": "1484179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544572800000",
    "number": "1235675349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 N CENTRAL AVE",
            "address_2": "SUITE 201",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912023180",
            "telephone_number": "818-554-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10646 ZELZAH AVE STE 207",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913445959",
            "telephone_number": "818-554-2600",
            "fax_number": "888-728-4572"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11239 Tampa Ave",
            "address_2": "Suite 206",
            "address_purpose": "LOCATION",
            "city": "Northridge",
            "state": "CA",
            "postal_code": "913261615",
            "country_code": "US",
            "telephone_number": "818-554-2600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2489 Tapo St",
            "address_purpose": "LOCATION",
            "city": "Simi Valley",
            "state": "CA",
            "postal_code": "930632453",
            "country_code": "US",
            "telephone_number": "818-554-2600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JINGOZIAN",
        "first_name": "VARDUI",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-12",
        "last_updated": "2018-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT97722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granada Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2018; 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.