Individual provider Active NPI

Silvy Khoucasian, M.A., MFTI

  • Mental Health Counselor
  • Tarzana, CA
National Provider Identifier
1427463520
Registry record updated Jun 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
IMF75734 Issued in CA
Practice address
18550 Burbank Blvd Apt 223
Tarzana, CA 91356-2620
Phone
(818) 438-8452
NPI assigned
Jun 26, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 75734 CA
Mental Health Counselor 101YM0800X IMF75734 CA Primary

Addresses

Primary practice location

18550 Burbank Blvd Apt 223
Tarzana, CA 91356-2620

Mailing address

18550 Burbank Blvd Apt 223
Tarzana, CA 91356-2620
Phone (818) 438-8452

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
IMF75734CAMDMental Health Counselor
75734CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403740800000",
    "number": "1427463520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18550 BURBANK BLVD APT 223",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562620",
            "telephone_number": "818-438-8452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18550 BURBANK BLVD APT 223",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562620",
            "telephone_number": "818-438-8452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOUCASIAN",
        "first_name": "SILVY",
        "name_prefix": "Miss",
        "credential": "M.A., MFTI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-26",
        "last_updated": "2014-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "75734",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "IMF75734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2014; 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.