Individual provider Active NPI

Herbert Takhmazyan, LMFT

  • Marriage & Family Therapist
  • Montrose, CA
National Provider Identifier
1750716270
Registry record updated Sep 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT95723 Issued in CA
Practice address
2331 Honolulu Ave Ste H
Montrose, CA 91020-1844
Phone
(424) 250-0643
Fax
(424) 281-0561
NPI assigned
Sep 4, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 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 LMFT95723 CA Primary

Addresses

Primary practice location

2331 Honolulu Ave Ste H
Montrose, CA 91020-1844

Mailing address

PO Box 289
Tujunga, CA 91043-0289
Phone (818) 497-2813

Other names 1

  • Gerberd Takhmazyan Former name

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
I20240228000534 CA Practitioner - Marriage and Family Therapist 6608210349 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2331 Honolulu Ave
Suite G
Montrose, CA 91020-1844
Phone (818) 497-2813

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMFT95723CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
NHT Family Counseling Inc. Marriage & Family Therapist CurrentSince Dec 18, 2023 Accepting new patients

Locations

2331 Honolulu Ave
Ste G
Montrose, CA 91020
Phone (424) 250-0643

Organizations & group practices 1

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": "1378252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537228800000",
    "number": "1750716270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 289",
            "city": "TUJUNGA",
            "state": "CA",
            "postal_code": "910430289",
            "telephone_number": "818-497-2813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2331 HONOLULU AVE STE H",
            "city": "MONTROSE",
            "state": "CA",
            "postal_code": "910201844",
            "telephone_number": "424-250-0643",
            "fax_number": "424-281-0561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKHMAZYAN",
        "first_name": "HERBERT",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-04",
        "last_updated": "2018-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT95723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GERBERD",
            "last_name": "TAKHMAZYAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Montrose, CA

Sources for this page

Verify at the official NPI Registry.