Individual provider Active NPI

Linet Tina Zmrutyan

  • Marriage & Family Therapist
  • Mission Hills, CA
National Provider Identifier
1750798880
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT105379 Issued in CA
Practice address
15545 Devonshire St Ste 208
Mission Hills, CA 91345-2638
Phone
(818) 669-4260
NPI assigned
Jul 21, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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 LMFT105379 CA Primary

Addresses

Primary practice location

15545 Devonshire St Ste 208
Mission Hills, CA 91345-2638

Mailing address

PO Box 950333
Mission Hills, CA 91395-0333

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
I20240923000445 CA Practitioner - Marriage and Family Therapist 8820535644 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMFT105379CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Individual & Family Counseling, Inc. Marriage & Family Therapist CurrentSince May 10, 2024 Accepting new patients

Locations

15545 Devonshire St
Ste 208
Mission Hills, CA 91345
Phone (818) 235-8587

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": "1405900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1750798880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 950333",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913950333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15545 DEVONSHIRE ST STE 208",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913452638",
            "telephone_number": "818-669-4260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZMRUTYAN",
        "first_name": "LINET",
        "middle_name": "TINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-21",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT105379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Hills, CA

Sources for this page

Verify at the official NPI Registry.