Maria Avedissian Marriage and Family Therapist Inc

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

MARIA AVEDISSIAN MARRIAGE AND FAMILY THERAPIST INC

Practice address

2512 Foothill Blvd Ste 4
La Crescenta, CA 91214-3506

Phone

(626) 348-1620

NPI assigned

Apr 22, 2024

Organization subpart

No

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

Authorized official

Name

Maria Avedissian, LMFTNPI 1356969109

Title

Sole Owner

Phone

(626) 348-1620

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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

• Maria Avedissian, LMFT

  • Marriage & Family Therapist
  • La Crescenta, CA
  • NPI 1356969109
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1713744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727049600000",
    "number": "1659126654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2512 FOOTHILL BLVD STE 4",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912143506",
            "telephone_number": "626-348-1620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2512 FOOTHILL BLVD STE 4",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912143506",
            "telephone_number": "626-348-1620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA AVEDISSIAN MARRIAGE AND FAMILY THERAPIST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-22",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A",
        "authorized_official_last_name": "AVEDISSIAN",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "626-348-1620",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in La Crescenta, CA
• Providers in La Crescenta, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.