Individual provider Active NPI

Haya Haykuhi Avetisyan, LMFT

  • Marriage & Family Therapist
  • Glendale, CA
National Provider Identifier
1871068866
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT124741 Issued in CA
Practice address
230 N Maryland Ave Ste 303
Glendale, CA 91206-4281
Phone
(747) 208-2623
NPI assigned
Oct 5, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT124741 CA Primary

Addresses

Primary practice location

230 N Maryland Ave Ste 303
Glendale, CA 91206-4281

Mailing address

1218 S Glendale Ave # 50
Glendale, CA 91205-3205
Phone (747) 208-2623

Other practice location 1

1218 S Glendale Ave # 50
Glendale, CA 91205-3205
Phone (747) 208-2623

Other identifiers 4

IdentifierTypeStateIssuer
7184OtherCAMEDI-CAL
7708OtherCAMEDI-CAL
7667OtherCAMEDI-CAL
7368OtherCAMEDI-CAL

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

State licenses

LicenseStateTypeSpecialty
LMFT124741CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mind and Soul Counseling Inc Mental Health CurrentSince Mar 11, 2025 Accepting new patients
Institute for the Redesign of Learning Mental Health Past Accepting new patients

Locations

230 N Maryland Ave
Ste 303
Glendale, CA 91206
Phone (818) 233-0583

1218 S Glendale Ave
#50
Glendale, CA 91205
Phone (747) 208-2623

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": "1538697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1871068866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 S GLENDALE AVE # 50",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912053205",
            "telephone_number": "747-208-2623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 N MARYLAND AVE STE 303",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064281",
            "telephone_number": "747-208-2623"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1218 S Glendale Ave # 50",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "912053205",
            "country_code": "US",
            "telephone_number": "747-208-2623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AVETISYAN",
        "first_name": "HAYA",
        "middle_name": "HAYKUHI",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-05",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT124741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "7184",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "7708",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "7667",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "7368",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; 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.