Individual provider Active NPI

Lila Galustian, MFT

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1720518962
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
100202 Issued in CA
Practice address
3151 Cahuenga Blvd W Ste 335
Los Angeles, CA 90068-1749
Phone
(818) 241-8111
NPI assigned
Jun 19, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 100202 CA Primary

Addresses

Primary practice location

3151 Cahuenga Blvd W Ste 335
Los Angeles, CA 90068-1749

Mailing address

3151 Cahuenga Blvd W Ste 335
Los Angeles, CA 90068-1749
Phone (818) 241-8111

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

LicenseStateTypeSpecialty
100202CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Re-Discovering You, a Marriage and Family Therapy Corporation Marriage & Family Therapist Current Accepting new patients
Octave Behavioral Health PC Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1720518962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3151 CAHUENGA BLVD W STE 335",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900681749",
            "telephone_number": "818-241-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3151 CAHUENGA BLVD W STE 335",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900681749",
            "telephone_number": "818-241-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALUSTIAN",
        "first_name": "LILA",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "100202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.