Individual provider Active NPI

Lilit Zilifyan

  • Marriage & Family Therapist
  • Glendale, CA
National Provider Identifier
1730422270
Registry record updated Dec 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
92389 Issued in CA
Practice address
1010 N Central Ave # 310
Glendale, CA 91202-2937
Phone
(819) 724-9770
NPI assigned
Apr 3, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2018

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 92389 CA Primary

Addresses

Primary practice location

1010 N Central Ave # 310
Glendale, CA 91202-2937

Mailing address

1010 N Central Ave # 310
Glendale, CA 91202-2937
Phone (818) 724-9770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240125003717 CA Practitioner - Marriage and Family Therapist 9133571219 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mending SoulsGroup PAC ID 8527410604, 2 clinicians

Practice addresses (Care Compare)

1010 N Central Ave
Glendale, CA 91202-2937
Phone (818) 724-9770

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
92389CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mending Souls Marriage & Family Therapist CurrentSince Jan 1, 2024 Accepting new patients
Mending Souls Marriage & Family Therapist CurrentSince Feb 5, 2016 Accepting new patients

Locations

1010 N Central Ave
#310
Glendale, CA 91202
Phone (818) 724-9770

6931 Van Nuys Blvd
Ste 311
Van Nuys, CA 91405
Phone (818) 724-9770

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": "1364947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545004800000",
    "number": "1730422270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 N CENTRAL AVE # 310",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912022937",
            "telephone_number": "818-724-9770",
            "fax_number": "818-484-2991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 N CENTRAL AVE # 310",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912022937",
            "telephone_number": "819-724-9770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZILIFYAN",
        "first_name": "LILIT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-03",
        "last_updated": "2018-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "92389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.