Active NPI
Armine Vardanyan
- Marriage & Family Therapist
- Pacoima, CA
National Provider Identifier
1821524125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT141556
- Practice address
- 12510 Van Nuys Blvd Ste 201
Pacoima, CA 91331-6732 - Phone
- (818) 288-5791
- NPI assigned
- May 4, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | AMFT107224 | CA | |
| Marriage & Family Therapist | 106H00000X | LMFT141556 | CA | Primary |
Addresses
Primary practice location
12510 Van Nuys Blvd Ste 201
Pacoima, CA 91331-6732
Mailing address
14600 Sherman Way
Suite 100D
Van Nuys, CA 91405-2283
Phone (818) 374-6901
Other practice location 1
14600 Sherman Way
Suite 100D
Van Nuys, CA 91405-2283
Phone (818) 374-6901
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AMFT107224 | CA | MD | Marriage & Family Therapist |
| LMFT141556 | CA | MD | Marriage & Family Therapist |
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698969600000",
"number": "1821524125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14600 SHERMAN WAY",
"address_2": "SUITE 100D",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914052283",
"telephone_number": "818-374-6901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12510 VAN NUYS BLVD STE 201",
"city": "PACOIMA",
"state": "CA",
"postal_code": "913316732",
"telephone_number": "818-288-5791"
}
],
"practiceLocations": [
{
"address_1": "14600 Sherman Way",
"address_2": "Suite 100D",
"address_purpose": "LOCATION",
"city": "Van Nuys",
"state": "CA",
"postal_code": "914052283",
"country_code": "US",
"telephone_number": "818-374-6901",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VARDANYAN",
"first_name": "ARMINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-04",
"last_updated": "2023-11-03",
"certification_date": "2023-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "AMFT107224",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT141556",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pacoima, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.