Alexis Gholston, AMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

149593 Issued in CA

Practice address

12424 Wilshire Blvd Ste 650
Los Angeles, CA 90025-1081

Phone

(937) 524-3942

NPI assigned

Apr 15, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1744675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1376339515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4960 LINSCOTT PL APT 4",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900165420",
            "telephone_number": "937-524-3942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12424 WILSHIRE BLVD STE 650",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251081",
            "telephone_number": "937-524-3942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHOLSTON",
        "first_name": "ALEXIS",
        "credential": "AMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-15",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "149593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hadis Ghoghaie, REGISTERED DIETITIAN
• Bernardette Medina Gholami, MSW
• Sharareh Gholamin, MD
• Ebonie Gholar
• Ortila Gholian
• Hebatalla Kamal Ghoneim, AMFT
• Negar Ghorbanali, MS, BCBA
• Nima Ghorbani
• Anamika Ghosh
• Ankona Ghosh, MD

• Marriage & Family Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.