Individual provider Active NPI

Bahar Delaram

  • Marriage & Family Therapist
  • Irvine, CA
National Provider Identifier
1780068643
Registry record updated Aug 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT100486 Issued in CA
Practice address
4199 Campus Dr Ste 550
Irvine, CA 92612
Phone
(714) 599-4050
NPI assigned
Jul 10, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IMF79449 CA
Marriage & Family Therapist 106H00000X LMF CA
Marriage & Family Therapist 106H00000X LMFT100486 CA Primary

Addresses

Primary practice location

4199 Campus Dr Ste 550
Irvine, CA 92612

Mailing address

4199 Campus Dr Ste 550
Irvine, CA 92612-4694

Other practice location 1

4010 Barranca Pkwy
Irvine, CA 92604-4711
Phone (714) 599-4050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
IMF79449CAMDMental Health Counselor
LMFCAMDMarriage & Family Therapist
LMFT100486CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Joy of Life Therapy, Inc Mental Health Current Accepting new patients

Locations

26040 Acero
Ste 215
Mission Viejo, CA 92691

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": "1436486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533081600000",
    "number": "1780068643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4199 CAMPUS DR STE 550",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926124694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4199 CAMPUS DR STE 550",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "92612",
            "telephone_number": "714-599-4050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4010 Barranca Pkwy",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926044711",
            "country_code": "US",
            "telephone_number": "714-599-4050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELARAM",
        "first_name": "BAHAR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-10",
        "last_updated": "2018-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "IMF79449",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMF",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT100486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.