Organization Active NPI

Fakhoury Family and Individual Therapy Corporation

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1326911835
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
FAKHOURY FAMILY AND INDIVIDUAL THERAPY CORPORATION
Doing business as
Samar Neurodivergent Therapy Center
Practice address
2150 Hillhurst Ave
Los Angeles, CA 90027-2012
Phone
(213) 604-6079
NPI assigned
Sep 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Authorized official

Name
Wajdi Fakhoury, LMFT
Title
President
Phone
(213) 604-6079

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

2150 Hillhurst Ave
Los Angeles, CA 90027-2012

Mailing address

23371 Mulholland Dr Ste 400
Woodland Hills, CA 91364-2734
Phone (213) 604-6079

Other names 1

  • Samar Neurodivergent Therapy Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1759104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759104000000",
    "number": "1326911835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23371 MULHOLLAND DR STE 400",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642734",
            "telephone_number": "213-604-6079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 HILLHURST AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900272012",
            "telephone_number": "213-604-6079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAKHOURY FAMILY AND INDIVIDUAL THERAPY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-29",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A",
        "authorized_official_last_name": "FAKHOURY",
        "authorized_official_first_name": "WAJDI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-604-6079",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Samar Neurodivergent Therapy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; 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.