Individual provider Active NPI

Albert Poghosyan, LMFT

  • Marriage & Family Therapist
  • Moorpark, CA
National Provider Identifier
1376250175
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT120562 Issued in CA
Practice address
11811 1/2 Darlene LN
Moorpark, CA 93021-1020
Phone
(818) 588-5818
NPI assigned
Nov 1, 2022
Last updated
Nov 1, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT120562 CA Primary

Addresses

Primary practice location

11811 1/2 Darlene LN
Moorpark, CA 93021-1020

Mailing address

15839 Gault St
Van Nuys, CA 91406-5152
Phone (818) 913-5404

Other practice location 1

11811 Darlene Ln
Moorpark, CA 93021-1020
Phone (818) 913-8797

Other practice location 2

14526 Rosoe Blvd unit 200
Panorama City, CA 91402-9140
Phone (818) 913-5404

Other practice location 3

3111 Winona Ave Unit 201
Burbank, CA 91504-2538
Phone (818) 913-5404

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

State licenses

LicenseStateTypeSpecialty
LMFT120562CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aaa Recovery LLC CurrentSince Nov 6, 2022 Accepting new patients
Aaa Treatment Solutions, LLC Current Accepting new patients
Civana Treatment Center Inc PastSince Apr 24, 2022 Accepting new patients
Ad Harmony Outreach PastSince Nov 6, 2022 Accepting new patients
Hillhaven Treatment Center Inc PastSince Sep 23, 2021 Accepting new patients

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1667260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1376250175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15839 GAULT ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914065152",
            "telephone_number": "818-913-5404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11811 1/2 DARLENE LN",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930211020",
            "telephone_number": "818-588-5818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11811 Darlene Ln",
            "address_purpose": "LOCATION",
            "city": "Moorpark",
            "state": "CA",
            "postal_code": "930211020",
            "country_code": "US",
            "telephone_number": "818-913-8797",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14526 Rosoe Blvd unit 200",
            "address_purpose": "LOCATION",
            "city": "Panorama City",
            "state": "CA",
            "postal_code": "914029140",
            "country_code": "US",
            "telephone_number": "818-913-5404",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3111 Winona Ave Unit 201",
            "address_purpose": "LOCATION",
            "city": "Burbank",
            "state": "CA",
            "postal_code": "915042538",
            "country_code": "US",
            "telephone_number": "818-913-5404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POGHOSYAN",
        "first_name": "ALBERT",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-01",
        "last_updated": "2022-11-01",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT120562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorpark, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; 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.