Individual provider Active NPI

Samin Freja Panahi, LGMFT

  • Marriage & Family Therapist
  • Bethesda, MD
National Provider Identifier
1619666583
Registry record updated May 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LGM947 Issued in MD
Practice address
6931 Arlington Rd Ste 440
Bethesda, MD 20814-5231
Phone
(240) 424-5328
NPI assigned
May 5, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2023

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 LGM947 MD Primary

Addresses

Primary practice location

6931 Arlington Rd Ste 440
Bethesda, MD 20814-5231

Mailing address

788 3Rd St
Herndon, VA 20170-3239
Phone (617) 990-2543

Other practice location 1

15718 Mahogany Cir Apt 401
Gaithersburg, MD 20878-4645
Phone (202) 750-0717

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LGM947MDMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1683244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683244800000",
    "number": "1619666583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "788 3RD ST",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201703239",
            "telephone_number": "617-990-2543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6931 ARLINGTON RD STE 440",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208145231",
            "telephone_number": "240-424-5328"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15718 Mahogany Cir Apt 401",
            "address_purpose": "LOCATION",
            "city": "Gaithersburg",
            "state": "MD",
            "postal_code": "208784645",
            "country_code": "US",
            "telephone_number": "202-750-0717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANAHI",
        "first_name": "SAMIN",
        "middle_name": "FREJA",
        "credential": "LGMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-05",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MD",
            "license": "LGM947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.