Individual provider Active NPI

Anne Catherine Khodayari, APCC, MT-BC

  • Mental Health Counselor
  • Rolling Hills Estates, CA
National Provider Identifier
1245711860
Registry record updated May 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
14082 Issued in CA
Practice address
655 Deep Valley Dr Ste 265
Rolling Hills Estates, CA 90274-3620
Phone
(424) 453-3382
NPI assigned
Aug 22, 2018
Last updated
May 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 14082 CA Primary
Music Therapist 225A00000X

Addresses

Primary practice location

655 Deep Valley Dr Ste 265
Rolling Hills Estates, CA 90274-3620

Mailing address

2748 Pacific Coast Hwy # 1103
Torrance, CA 90505-7002
Phone (424) 453-3382

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
14082CAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1534896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779667200000",
    "number": "1245711860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2748 PACIFIC COAST HWY # 1103",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905057002",
            "telephone_number": "424-453-3382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 DEEP VALLEY DR STE 265",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "902743620",
            "telephone_number": "424-453-3382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHODAYARI",
        "first_name": "ANNE",
        "middle_name": "CATHERINE",
        "credential": "APCC, MT-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-22",
        "last_updated": "2026-05-25",
        "certification_date": "2026-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "14082",
            "primary": true
        },
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rolling Hills Estates, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.