Individual provider Active NPI

Fahimeh Mani, LMFT

  • Marriage & Family Therapist
  • Glendale, CA
National Provider Identifier
1588860746
Registry record updated Jun 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
81235 Issued in CA
Practice address
121 W Lexington Dr Ste 400C
Glendale, CA 91203-2203
Phone
(818) 903-5361
NPI assigned
Jun 25, 2007
Last updated
Jun 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2020

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 81235 CA Primary

Addresses

Primary practice location

121 W Lexington Dr Ste 400C
Glendale, CA 91203-2203

Mailing address

121 W Lexington Dr Ste 400C
Glendale, CA 91203-2203
Phone (818) 903-5361

Other practice location 1

3580 Wilshire Blvd
Suite2000
Los Angeles, CA 90010-2501
Phone (213) 381-1250

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
I20250124002889 CA Practitioner - Marriage and Family Therapist 8325577034 Practice locations: Temecula, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
81235CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1588860746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 W LEXINGTON DR STE 400C",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032203",
            "telephone_number": "818-903-5361",
            "fax_number": "213-383-4803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 W LEXINGTON DR STE 400C",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032203",
            "telephone_number": "818-903-5361"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3580 Wilshire Blvd",
            "address_2": "Suite2000",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900102501",
            "country_code": "US",
            "telephone_number": "213-381-1250",
            "fax_number": "213-383-4803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANI",
        "first_name": "FAHIMEH",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-25",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "81235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.