Everlight Teens Adults & Family Therapy a Professional Corporation

Organization Active NPI Marriage & Family Therapist · Rolling Hills Estates, CA

NPI 1629957642 · NPPES record last updated Feb 5, 2026

Key facts

NPI
1629957642
Entity type
Organization (NPI type 2)
Primary specialty
Marriage & Family Therapist 106H00000X
Legal business name
EVERLIGHT TEENS ADULTS & FAMILY THERAPY A PROFESSIONAL CORPORATION
Practice address
609 Deep Valley Dr Ste 200
Rolling Hills Estates, CA 90274-3614
Phone
(310) 925-3852
NPI assigned
Sep 2, 2025
Organization subpart
No

Authorized official

Name
Rashida Khan, LMFT NPI 1497111561
Title
Ceo
Phone
(310) 925-3852

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20260211001453 CA Part B Supplier - Clinic/Group Practice 6507345329 Receives reassigned benefits from 1 practitioner
Practice locations: Rancho Palos Verdes, CA

National Provider Directory

Locations

777 Silver Spur Rd
Ste 232
Rolling Hills Estates, CA 90274
Phone (310) 265-8100

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist
Group: 193400000X SINGLE SPECIALTY GROUP
106H00000X Yes

Addresses

Primary practice location

609 Deep Valley Dr Ste 200
Rolling Hills Estates, CA 90274-3614

Mailing address

PO Box 2706
Palos Verdes Peninsula, CA 90274-8706
Phone (310) 925-3852

Other providers in Rolling Hills Estates, CA

All providers in Rolling Hills Estates, CA · Marriage & Family Therapist in California

Sources for this page

Verify at the official NPI Registry.