Individual provider Active NPI

Isabella Shirinyan, MA, LMFT

  • Marriage & Family Therapist
  • Pasadena, CA
National Provider Identifier
1487175030
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
134540 Issued in CA
Practice address
491 S. Marengo Ave.
Pasadena, CA 91101
Phone
(818) 859-0560
NPI assigned
Jul 5, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Marriage & Family Therapist 106H00000X 134540 CA Primary

Addresses

Primary practice location

491 S. Marengo Ave.
Pasadena, CA 91101

Mailing address

491 S. Marengo Ave.
Pasadena, CA 91101
Phone (818) 859-0560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 25, 2024 through Jan 25, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
134540CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Align Therapy Group, Inc. Marriage & Family Therapist Current Accepting new patients

Locations

595 E Colorado Blvd
Ste 205
Pasadena, CA 91101
Phone (626) 214-5308

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": "1499212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672272000000",
    "number": "1487175030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "491 S. MARENGO AVE.",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "91101",
            "telephone_number": "818-859-0560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 S. MARENGO AVE.",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "91101",
            "telephone_number": "818-859-0560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRINYAN",
        "first_name": "ISABELLA",
        "credential": "MA, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-05",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "134540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.