Individual provider Active NPI

Lara L. Mekhitarian, M.A., LMFT

  • Marriage & Family Therapist
  • Glendale, CA
National Provider Identifier
1457558330
Registry record updated May 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC # 78395 Issued in CA
Practice address
320 Arden Ave
Suite # 240
Glendale, CA 91203
Phone
(818) 570-0721
NPI assigned
Jul 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2018

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 MFC # 78395 CA Primary

Addresses

Primary practice location

320 Arden Ave
Suite # 240
Glendale, CA 91203

Mailing address

3659 Altura Ave
La Crescenta, CA 91214-2402
Phone (818) 570-0721

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240123000761 CA Practitioner - Marriage and Family Therapist 8426400771 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MFC # 78395CAMDMarriage & Family Therapist
78395CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Heal the Hurt Counseling Marriage & Family Therapist CurrentSince Dec 26, 2023 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526256000000",
    "number": "1457558330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3659 ALTURA AVE",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912142402",
            "telephone_number": "818-570-0721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 ARDEN AVE",
            "address_2": "SUITE # 240",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "91203",
            "telephone_number": "818-570-0721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEKHITARIAN",
        "first_name": "LARA",
        "middle_name": "L.",
        "credential": "M.A., LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-02",
        "last_updated": "2018-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC # 78395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.