Emmy Miriam Rustrian

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT147138 Issued in CA

Practice address

18047 Beach Blvd Ste 1070
Huntington Beach, CA 92648-1304

Phone

(714) 831-1686

NPI assigned

Feb 18, 2019

Last updated

Jun 8, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Institute for Family Centered Services Inc.

  dba Ca Mentor

  • Community/Behavioral Health Agency
  • Long Beach, CA
  • NPI 1255714804
  NPD (past)

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

{
    "created_epoch": "1550448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1679039382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18047 BEACH BLVD STE 1070",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18047 BEACH BLVD STE 1070",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481304",
            "telephone_number": "714-831-1686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSTRIAN",
        "first_name": "EMMY",
        "middle_name": "MIRIAM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-18",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LPCC20953",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT147138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Russell
• Judy Ann Russell, MFT
• Thane Russey
• Alicia Russo
• Peter Anthony Russo, D.D.S.
• Aara Rutherford
• Terrance Alan Ruzicka
• RX Imaging Services (Rx Imaging Solutions)
• RX Personal Training Inc. (Coastherapy)
• Brittney Ryan, OTR/L

• Marriage & Family Therapist in Huntington Beach, CA
• Providers in Huntington Beach, 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 Jun 8, 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.