Individual provider Active NPI

Audrey Derian, AMFT APCC

  • Marriage & Family Therapist
  • Glendale, CA
National Provider Identifier
1407765001
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
AMFT160599 Issued in CA
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

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.