Organization Active NPI

New Life Marriage Therapy Inc

Doing business as New Life Therapy

  • Marriage & Family Therapist
  • Granada Hills, CA
National Provider Identifier
1255033569
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
NEW LIFE MARRIAGE THERAPY INC
Doing business as
New Life Therapy
Practice address
16800 Devonshire St Ste 201
Granada Hills, CA 91344-7409
Phone
(818) 309-7440
Fax
(818) 217-4699
NPI assigned
Mar 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Authorized official

Name
Evelina Krpekyan, LMFTNPI 1326199563
Title
Ceo
Phone
(818) 309-7440

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X
Marriage & Family TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

16800 Devonshire St Ste 201
Granada Hills, CA 91344-7409

Mailing address

18651 Nau Ave
Porter Ranch, CA 91326-2111
Phone (818) 309-7440

Other names 1

  • New Life Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240918001496 CA Part B Supplier - Clinic/Group Practice 6204377237 Receives reassigned benefits from 1 practitioner
Practice locations: Granada Hills, CA

National Provider Directory

National Provider Directory

Locations

16800 Devonshire St
Ste 201
Granada Hills, CA 91344
Phone (818) 309-7440

16800 Devonshire St
Ste 303
Granada Hills, CA 91344
Phone (818) 309-7440

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726012800000",
    "number": "1255033569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18651 NAU AVE",
            "city": "PORTER RANCH",
            "state": "CA",
            "postal_code": "913262111",
            "telephone_number": "818-309-7440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16800 DEVONSHIRE ST STE 201",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913447409",
            "telephone_number": "818-309-7440",
            "fax_number": "818-217-4699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE MARRIAGE THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-20",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A",
        "authorized_official_last_name": "KRPEKYAN",
        "authorized_official_first_name": "EVELINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-309-7440",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Life Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.