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
- Title
- Ceo
- Phone
- (310) 925-3852
Practitioners 1
-
Rashida Khan, MED., LMFT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist |
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
- Helen Duerr
- Kathleen Hawley Dyke
- Joanna W. Edwards
- Melissa Eichel
- Rabiha El Habbal
- Mini Fanega
- Howard Fein
- James Henry Flores Jr.
- Stewart M. Forman
- Fox Drug of Torrance, Inc.
All providers in Rolling Hills Estates, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 5, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.