Active NPI
Samin Freja Panahi, LGMFT
- Marriage & Family Therapist
- Bethesda, MD
National Provider Identifier
1619666583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LGM947
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| LGM947 | MD | MD | Marriage & 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.