Organization Active NPI

Illuminate Within Family Therapy Professional Corporation

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1649107772
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
ILLUMINATE WITHIN FAMILY THERAPY PROFESSIONAL CORPORATION
Practice address
9815 Carroll Canyon Rd Ste 103
San Diego, CA 92131-1123
Phone
(952) 465-7226
NPI assigned
May 5, 2026
Last updated
May 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mahtaab Khanjari, LMFTNPI 1043979636
Title
Owner, Chief Executive Officer
Phone
(952) 465-7226

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X NU Primary

Addresses

Primary practice location

9815 Carroll Canyon Rd Ste 103
San Diego, CA 92131-1123

Mailing address

9815 Carroll Canyon Rd Ste 103
San Diego, CA 92131-1123

National Provider Directory

National Provider Directory

Locations

9815 Carroll Canyon Rd
Ste 103
San Diego, CA 92131
Phone (626) 636-3421

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1777939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777939200000",
    "number": "1649107772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9815 CARROLL CANYON RD STE 103",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921311123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9815 CARROLL CANYON RD STE 103",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921311123",
            "telephone_number": "952-465-7226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLUMINATE WITHIN FAMILY THERAPY PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-05",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-04",
        "status": "A",
        "authorized_official_last_name": "KHANJARI",
        "authorized_official_first_name": "MAHTAAB",
        "authorized_official_title_or_position": "OWNER, CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "952-465-7226",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; 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.