Individual provider Active NPI

Karen Bardavid, MA, AMFT, APCC, ATR

  • Marriage & Family Therapist
  • Encino, CA
National Provider Identifier
1790495810
Registry record updated Dec 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
152232 Issued in CA
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

Updated by the provider on Dec 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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

LicenseStateTypeSpecialty
11968CAMDProfessional Counselor
152232CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Wilshire Counseling Center, a Psychological Corporation CurrentSince Dec 28, 2025 Accepting new patients
Midwest Post-Acute Care of California PC PastSince Sep 23, 2024 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.

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.

Verify at the official NPI Registry.