Active NPI
Nealufar Lillian Hayatghaib, MA
- Mental Health Counselor
- Los Gatos, CA
National Provider Identifier
1821870569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 139236
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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 |
|---|---|---|---|
| 139236 | CA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy for Every Body | Mental Health | Current | 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.