Active NPI
Bahar Delaram
- Marriage & Family Therapist
- Irvine, CA
National Provider Identifier
1780068643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT100486
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| IMF79449 | CA | MD | Mental Health Counselor |
| LMF | CA | MD | Marriage & Family Therapist |
| LMFT100486 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Mental Health Counselor
- Irvine, CA
- NPI 1952000481
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; 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.