Active NPI
Audrey Derian, AMFT APCC
- Marriage & Family Therapist
- Glendale, CA
National Provider Identifier
1407765001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- AMFT160599
- Practice address
- 3440 Country Club Dr
Glendale, CA 91208-1154 - Phone
- (818) 395-6892
- NPI assigned
- Sep 2, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | APCC21493 | CA | |
| Marriage & Family Therapist | 106H00000X | AMFT160599 | CA | Primary |
Addresses
Primary practice location
3440 Country Club Dr
Glendale, CA 91208-1154
Mailing address
3440 Country Club Dr
Glendale, CA 91208-1154
Phone (818) 395-6892
Other practice location 1
25000 Avenue Stanford Ste 167
Valencia, CA 91355-4596
Phone (661) 299-7033
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788307200000",
"number": "1407765001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3440 COUNTRY CLUB DR",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912081154",
"telephone_number": "818-395-6892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3440 COUNTRY CLUB DR",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912081154",
"telephone_number": "818-395-6892"
}
],
"practiceLocations": [
{
"address_1": "25000 Avenue Stanford Ste 167",
"address_purpose": "LOCATION",
"city": "Valencia",
"state": "CA",
"postal_code": "913554596",
"country_code": "US",
"telephone_number": "661-299-7033",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DERIAN",
"first_name": "AUDREY",
"credential": "AMFT APCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-02",
"last_updated": "2026-09-02",
"certification_date": "2026-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "APCC21493",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "AMFT160599",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.