Individual provider Active NPI

Mahnaz Zerimani Kheiri, MFT

  • Marriage & Family Therapist
  • Tarzana, CA
National Provider Identifier
1467606707
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC46367 Issued in CA
Practice address
18345 Ventura Blvd Ste 507
Tarzana, CA 91356-4245
Phone
(818) 926-0426
NPI assigned
Nov 13, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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 MFC46367 CA Primary

Addresses

Primary practice location

18345 Ventura Blvd Ste 507
Tarzana, CA 91356-4245

Mailing address

5060 Chimineas Ave
Tarzana, CA 91356-4351
Phone (818) 926-0426

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
I20240508003111 CA Practitioner - Mental Health Counselor 0547601585 Practice locations: Tarzana, CA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

18345 Ventura Blvd
Suite 507
Tarzana, CA 91356-4245
Phone (818) 926-0426

5060 Chimineas Ave
Tarzana, CA 91356-4351

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFC46367CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Personal Growth Institute Past 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": "1226534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1467606707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5060 CHIMINEAS AVE",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564351",
            "telephone_number": "818-926-0426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18345 VENTURA BLVD STE 507",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564245",
            "telephone_number": "818-926-0426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHEIRI",
        "first_name": "MAHNAZ",
        "middle_name": "ZERIMANI",
        "name_prefix": "Mrs.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-13",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC46367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

Verify at the official NPI Registry.