Individual provider Active NPI

Bethie Kohanchi Kohanbash, LMFT

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1609908730
Registry record updated Nov 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
1462 S Durango Ave
Los Angeles, CA 90035-3328
Phone
(310) 968-6648
NPI assigned
Mar 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2012

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 CA Primary

Addresses

Primary practice location

1462 S Durango Ave
Los Angeles, CA 90035-3328

Mailing address

1462 S Durango Ave
Los Angeles, CA 90035-3328
Phone (310) 968-6648

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240115001421 CA Practitioner - Marriage and Family Therapist 7214240647 Reassigns benefits to 1 organization
I20240205001699 CA Practitioner - Other (Non-Physician) 7214240647 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
48582CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Brighter Tomorrow Family Therapy Inc Marriage & Family Therapist CurrentSince Dec 14, 2025 Accepting new patients
Kohan International Foundation Marriage & Family Therapist CurrentSince Mar 7, 2015 Accepting new patients

Locations

5601 W Slauson Ave
Ste 192
Culver City, CA 90230
Phone (310) 968-6648

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": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352073600000",
    "number": "1609908730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1462 S DURANGO AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900353328",
            "telephone_number": "310-968-6648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1462 S DURANGO AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900353328",
            "telephone_number": "310-968-6648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHANBASH",
        "first_name": "BETHIE",
        "middle_name": "KOHANCHI",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2012-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.