Individual provider Active NPI

Vehanoush Ghookasian, MFT

  • Marriage & Family Therapist
  • San Fernando, CA
National Provider Identifier
1336412972
Registry record updated Aug 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
93358 Issued in CA
Practice address
11565 Laurel Canyon Blvd
116
San Fernando, CA 91340-4168
Phone
(818) 361-5030
NPI assigned
Feb 13, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner 225400000X
Marriage & Family Therapist 106H00000X 93358 CA Primary

Addresses

Primary practice location

11565 Laurel Canyon Blvd
116
San Fernando, CA 91340-4168

Mailing address

11565 Laurel Canyon Blvd
116
San Fernando, CA 91340-4168
Phone (818) 361-5030

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

NPI Registry JSON

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

{
    "created_epoch": "1329091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472169600000",
    "number": "1336412972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11565 LAUREL CANYON BLVD",
            "address_2": "116",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913404168",
            "telephone_number": "818-361-5030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11565 LAUREL CANYON BLVD",
            "address_2": "116",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913404168",
            "telephone_number": "818-361-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHOOKASIAN",
        "first_name": "VEHANOUSH",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-13",
        "last_updated": "2016-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "93358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Fernando, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2016; 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.