Active NPI
Nilofar Mirchi
- Marriage & Family Therapist
- Simi Valley, CA
National Provider Identifier
1720236243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 84072
- Practice address
- 1227 E Los Angeles Ave
Simi Valley, CA 93065-2871 - Phone
- (805) 582-4080
- NPI assigned
- Sep 9, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 84072 | CA | Primary |
Addresses
Primary practice location
1227 E Los Angeles Ave
Simi Valley, CA 93065-2871
Mailing address
1227 E Los Angeles Ave
Simi Valley, CA 93065-2871
Phone (805) 582-4080
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 21, 2024 through Jan 21, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643673600000",
"number": "1720236243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1227 E LOS ANGELES AVE",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930652871",
"telephone_number": "805-582-4080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1227 E LOS ANGELES AVE",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930652871",
"telephone_number": "805-582-4080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRCHI",
"first_name": "NILOFAR",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-09",
"last_updated": "2022-02-01",
"certification_date": "2022-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "84072",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Simi Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.