David Ibrahim, LMFT, CADC II

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

120556 Issued in CA

Practice address

100 N Brand Blvd Ste 412
Glendale, CA 91203-2614

Phone

(323) 533-8805

NPI assigned

Dec 20, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Glendale Counseling Services

  dba David Ibrahim

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Glendale, CA
  • NPI 1730793449
  NPD Authorized official

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

{
    "created_epoch": "1545264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1710459359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N BRAND BLVD STE 412",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032614",
            "telephone_number": "323-533-8805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N BRAND BLVD STE 412",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032614",
            "telephone_number": "323-533-8805"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "446 W Stocker St Apt 12",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "912024363",
            "country_code": "US",
            "telephone_number": "323-533-8805",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3085 Ridgeview Dr",
            "address_purpose": "LOCATION",
            "city": "Altadena",
            "state": "CA",
            "postal_code": "910014527",
            "country_code": "US",
            "telephone_number": "626-791-0831",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 N Brand Blvd Ste 412",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "912032614",
            "country_code": "US",
            "telephone_number": "323-533-8805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IBRAHIM",
        "first_name": "DAVID",
        "credential": "LMFT, CADC II",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-20",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "AII055350418",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "120556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "david@glendalecounselingservices.com",
            "affiliation": "N",
            "endpointDescription": "Office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "100 N Brand Blvd Ste 412",
            "city": "Glendale",
            "state": "CA",
            "country_code": "US",
            "postal_code": "912032614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• I and G Pharmacy Inc.
• I. Acosta, M.D., Inc.
• I&V Home Health, Inc.
• Iaso Medical Professional Group
• Brian Ibarra
• Monika Ibrahim
• Icare Home Health Services, Inc.
• Ideal Pharm (Haugen's Ideal Pharmacy)
• Idt Hospice Care Inc
• Manuela Iervolino

• Marriage & Family Therapist in Glendale, CA
• Providers in Glendale, 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 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.

Verify at the official NPI Registry.