Active NPI
Roxane Cohanim, LMFT
- Marriage & Family Therapist
- Los Angeles, CA
National Provider Identifier
1760298475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 11980 San Vicente Blvd Ste 711
Los Angeles, CA 90049-6605 - Phone
- (310) 612-4343
- NPI assigned
- Dec 6, 2024
- Sex
- Female
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
11980 San Vicente Blvd Ste 711
Los Angeles, CA 90049-6605
Mailing address
456 S Bundy Dr
Los Angeles, CA 90049-4032
Phone (310) 612-4343
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Sep 8, 2025 through Sep 8, 2027
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": "1733443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733443200000",
"number": "1760298475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "456 S BUNDY DR",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900494032",
"telephone_number": "310-612-4343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11980 SAN VICENTE BLVD STE 711",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900496605",
"telephone_number": "310-612-4343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COHANIM",
"first_name": "ROXANE",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-06",
"last_updated": "2024-12-06",
"certification_date": "2024-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
- Cognitive Behavioral Therapy Professional Psychological Corporation
- Daniel Omid Cohaim, DDS
- Ariella Cohan, PA-C
- Tyler Daniel Cohan
- Ramtin Cohanim, MD
- Katayon Cohanshohet, M.S. LMFT
- Albert Cohen Sedgh, DDS
- Cohen Sedgh, Manavi & Pakravan Dental Corporation
- Cohen Sedgh, Manavi & Pakravan Dental Corporation
- Cohen Sedgh, Manavi & Pakravan Dental Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; 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.