Individual provider Active NPI

Zhina N/a Vartanian, LCSW

  • Clinical Social Worker
  • Sylmar, CA
National Provider Identifier
1356869200
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
77149 Issued in CA
Practice address
13336 Aldergrove St
Sylmar, CA 91342-1828
Phone
(818) 395-4710
NPI assigned
Aug 30, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 77149 CA Primary

Addresses

Primary practice location

13336 Aldergrove St
Sylmar, CA 91342-1828

Mailing address

13336 Aldergrove St
Sylmar, CA 91342-1828
Phone (818) 395-4710

Other practice location 1

2650 Jones Way Ste 24
Simi Valley, CA 93065-1224
Phone (213) 908-1234

Other practice location 2

8247 Grove St
Sunland, CA 91040-2006
Phone (818) 395-4710

Other identifiers 1

IdentifierTypeStateIssuer
834104176OtherCAWELLNESS & SELF DISCOVERY COUNSELING SERVICES INC

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
77149CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness & Self Discovery Counseling Services Inc CurrentSince Jun 30, 2024 Accepting new patients
Family Psychological Clinic Inc PastSince May 1, 2024 Accepting new patients

Organizations & group practices 2

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": "1504051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1356869200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13336 ALDERGROVE ST",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913421828",
            "telephone_number": "818-395-4710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13336 ALDERGROVE ST",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913421828",
            "telephone_number": "818-395-4710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2650 Jones Way Ste 24",
            "address_purpose": "LOCATION",
            "city": "Simi Valley",
            "state": "CA",
            "postal_code": "930651224",
            "country_code": "US",
            "telephone_number": "213-908-1234",
            "fax_number": "213-908-1233",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8247 Grove St",
            "address_purpose": "LOCATION",
            "city": "Sunland",
            "state": "CA",
            "postal_code": "910402006",
            "country_code": "US",
            "telephone_number": "818-395-4710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VARTANIAN",
        "first_name": "ZHINA",
        "middle_name": "N/A",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-30",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "77149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLNESS & SELF DISCOVERY COUNSELING SERVICES INC",
            "identifier": "834104176",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylmar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; 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.