Active NPI
Meghrik Yenoki Gorjian
- Mental Health Counselor
- Glendale, CA
National Provider Identifier
1679067193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- ASW101855
- Practice address
- 237 N Central Ave
Glendale, CA 91203-3526 - Phone
- (818) 569-9632
- NPI assigned
- Jun 18, 2018
- Last updated
- Nov 15, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | ASW101855 | CA | Primary |
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
237 N Central Ave
Glendale, CA 91203-3526
Mailing address
PO Box 833
Tujunga, CA 91043-0833
Phone (818) 569-9632
Other practice location 1
138 N Brand Blvd Ste 303
Glendale, CA 91203-4621
Phone (818) 937-1095
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 99512149E | Medicaid | CA | |
| 906597464 | Medicaid | CA |
Other names 1
- Meghrik Yenoki
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASW101855 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636934400000",
"number": "1679067193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 833",
"city": "TUJUNGA",
"state": "CA",
"postal_code": "910430833",
"telephone_number": "818-569-9632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "237 N CENTRAL AVE",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912033526",
"telephone_number": "818-569-9632"
}
],
"practiceLocations": [
{
"address_1": "138 N Brand Blvd Ste 303",
"address_purpose": "LOCATION",
"city": "Glendale",
"state": "CA",
"postal_code": "912034621",
"country_code": "US",
"telephone_number": "818-937-1095",
"fax_number": "818-962-6254",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GORJIAN",
"first_name": "MEGHRIK",
"middle_name": "YENOKI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-18",
"last_updated": "2021-11-15",
"certification_date": "2021-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "ASW101855",
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "99512149E",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "906597464",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MEGHRIK",
"last_name": "YENOKI",
"credential": "MEGHRIK YOUNKI",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.