Individual provider Active NPI

Liliana Elizabeth Arevalo, MA AMFT

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1508427055
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
AMFT112548 Issued in CA
Practice address
4445 Burns Ave
Los Angeles, CA 90029-2702
Phone
(323) 222-1440
NPI assigned
Jun 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

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 AMFT112548 CA Primary

Addresses

Primary practice location

4445 Burns Ave
Los Angeles, CA 90029-2702

Mailing address

4445 Burns Ave
Los Angeles, CA 90029-2702
Phone (323) 222-1440

Other practice location 1

11027 Burbank Blvd
North Hollywood, CA 91601-2431
Phone (818) 985-8323

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
I20260516000420 CA Practitioner - Marriage and Family Therapist 9133698392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12913 Harbor Blvd
Suite Q 3 292
Garden Grove, CA 92840-5856

4453 Firmament Ave
Encino, CA 91436-3104

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AMFT112548CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cri-Help, Inc. PastSince Mar 1, 2020 Accepting new patients

Organizations & group practices 2

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": "1561420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1508427055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4445 BURNS AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900292702",
            "telephone_number": "323-222-1440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4445 BURNS AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900292702",
            "telephone_number": "323-222-1440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11027 Burbank Blvd",
            "address_purpose": "LOCATION",
            "city": "North Hollywood",
            "state": "CA",
            "postal_code": "916012431",
            "country_code": "US",
            "telephone_number": "818-985-8323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AREVALO",
        "first_name": "LILIANA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "MA AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-25",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT112548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.