Individual provider Active NPI

Evelina Krpekyan

  • Marriage & Family Therapist
  • Granada Hills, CA
National Provider Identifier
1326199563
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
16800 Devonshire St Ste 201
Granada Hills, CA 91344-7409
Phone
(818) 309-7440
Fax
(818) 217-4699
NPI assigned
Jan 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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
Marriage & Family Therapist 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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240918001585 CA Practitioner - Mental Health Counselor 1658812680 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

16800 Devonshire St
Suite 303
Granada Hills, CA 91344-7410
Phone (818) 309-7440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
New Life Marriage Therapy Inc Mental Health CurrentSince Jul 1, 2024 Accepting new patients
Northridge Counseling Center CurrentSince Apr 25, 2021 Accepting new patients
Victor Community Support Services, Inc. PastSince Nov 15, 2020 Accepting new patients

Locations

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

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

8949 Reseda Blvd
Ste 225
Northridge, CA 91324
Phone (818) 626-8531

Organizations & group practices 3

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": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1326199563",
    "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": {
        "last_name": "KRPEKYAN",
        "first_name": "EVELINA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granada Hills, CA

Sources for this page

Verify at the official NPI Registry.