Individual provider Active NPI

Tigran Vardanyan, AMFT

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1235887191
Registry record updated Mar 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
128889 Issued in CA
Practice address
849 E 6TH St
Los Angeles, CA 90021-1026
Phone
(213) 623-8446
Fax
(213) 896-1880
NPI assigned
Mar 10, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2022

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 128889 CA Primary

Addresses

Primary practice location

849 E 6TH St
Los Angeles, CA 90021-1026

Mailing address

849 E 6TH St
Los Angeles, CA 90021-1026
Phone (213) 623-8446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 1, 2024 through Oct 1, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
128889CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Reclaim Family Counseling, Inc. Current Accepting new patients
Para Los Ninos PastSince Mar 13, 2022 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1646870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646870400000",
    "number": "1235887191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "849 E 6TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900211026",
            "telephone_number": "213-623-8446",
            "fax_number": "213-896-1880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "849 E 6TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900211026",
            "telephone_number": "213-623-8446",
            "fax_number": "213-896-1880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARDANYAN",
        "first_name": "TIGRAN",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-10",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "128889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.