Active NPI
Karen Bardavid, MA, AMFT, APCC, ATR
- Marriage & Family Therapist
- Encino, CA
National Provider Identifier
1790495810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 152232
- Practice address
- 16250 Ventura Blvd Ste 465
Encino, CA 91436-4620 - Phone
- (818) 906-0406
- NPI assigned
- Nov 30, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 11968 | CA | |
| Marriage & Family Therapist | 106H00000X | 152232 | CA | Primary |
Addresses
Primary practice location
16250 Ventura Blvd Ste 465
Encino, CA 91436-4620
Mailing address
4930 Balboa Blvd Unit 261981
Encino, CA 91426-7095
Phone (818) 324-4613
Other names 1
- Karen Bardavid
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11968 | CA | MD | Professional Counselor |
| 152232 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Wilshire Counseling Center, a Psychological Corporation | Current | Accepting new patients | |
| Midwest Post-Acute Care of California PC | Past | Accepting new patients |
Locations
16250 Ventura Blvd
Ste 465
Encino, CA 91436
Phone (818) 419-5648
Organizations & group practices 2
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.
-
- Clinical Psychologist
- Encino, CA
- NPI 1306990577
-
- Nurse Practitioner
- Chicago, IL
- NPI 1326490871
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734998400000",
"number": "1790495810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4930 BALBOA BLVD UNIT 261981",
"city": "ENCINO",
"state": "CA",
"postal_code": "914267095",
"telephone_number": "818-324-4613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16250 VENTURA BLVD STE 465",
"city": "ENCINO",
"state": "CA",
"postal_code": "914364620",
"telephone_number": "818-906-0406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARDAVID",
"first_name": "KAREN",
"credential": "MA, AMFT, APCC, ATR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-30",
"last_updated": "2024-12-24",
"certification_date": "2024-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "11968",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "152232",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KAREN",
"last_name": "BARDAVID",
"credential": "MA, AMFT, APCC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Encino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.