Active NPI
Fahimeh Mani, LMFT
- Marriage & Family Therapist
- Glendale, CA
National Provider Identifier
1588860746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 81235
- 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, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250124002889 | CA | Practitioner - Marriage and Family Therapist | 8325577034 | Practice locations: Temecula, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 81235 | CA | MD | Pharmacist |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.