Individual provider Active NPI

Nealufar Lillian Hayatghaib, MA

  • Mental Health Counselor
  • Los Gatos, CA
National Provider Identifier
1821870569
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
139236 Issued in CA
Practice address
15466 Los Gatos Blvd Ste 109-241
Los Gatos, CA 95032-2542
Phone
(408) 221-7610
NPI assigned
Oct 17, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 139236 CA Primary

Addresses

Primary practice location

15466 Los Gatos Blvd Ste 109-241
Los Gatos, CA 95032-2542

Mailing address

15466 Los Gatos Blvd Ste 109-241
Los Gatos, CA 95032-2542
Phone (408) 221-7610

Other names 1

  • Lillian Hayatghaib 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
139236CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy for Every Body Mental Health CurrentSince Oct 22, 2023 Accepting new patients

Locations

15466 Los Gatos Blvd
Ste 109241
Los Gatos, CA 95032
Phone (408) 221-7610

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": "1697500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1821870569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15466 LOS GATOS BLVD STE 109-241",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322542",
            "telephone_number": "408-221-7610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15466 LOS GATOS BLVD STE 109-241",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322542",
            "telephone_number": "408-221-7610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYATGHAIB",
        "first_name": "NEALUFAR",
        "middle_name": "LILLIAN",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-17",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "139236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LILLIAN",
            "last_name": "HAYATGHAIB",
            "credential": "MA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Los Gatos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; 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.