Individual provider Active NPI

Honey Banayan Dardashti, MASTERS

  • Marriage & Family Therapist
  • Van Nuys, CA
National Provider Identifier
1871612929
Registry record updated Feb 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 48897 Issued in CA
Practice address
15339 Saticoy St
Van Nuys, CA 91406-3345
Phone
(818) 947-2011
Fax
(818) 267-2696
NPI assigned
Mar 28, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2012

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 MFC 48897 CA Primary

Addresses

Primary practice location

15339 Saticoy St
Van Nuys, CA 91406-3345

Mailing address

15339 Saticoy St
Van Nuys, CA 91406-3345
Phone (818) 947-2011

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250103002533 CA Practitioner - Marriage and Family Therapist 6709314735 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centered Individual and Family Counseling IncGroup PAC ID 7416390307, 3 clinicians

Practice addresses (Care Compare)

2716 S Vermont Ave
Suite 9
Los Angeles, CA 90007-2594
Phone (323) 810-9233

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFC 48897CAMDMarriage & Family Therapist
48897CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Centered Individual & Family Counseling Inc Marriage & Family Therapist CurrentSince Nov 22, 2024 Accepting new patients
Los Angeles County Department of Public Health Current Accepting new patients

Locations

2716 S Vermont Ave
Ste 9
Los Angeles, CA 90007
Phone (323) 810-9233

Interoperability endpoints

  • Direct secure messaging: honeydardashti-tarzanatc@lacsapc.netsmartdirect.net

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": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329955200000",
    "number": "1871612929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15339 SATICOY ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914063345",
            "telephone_number": "818-947-2011",
            "fax_number": "818-267-2696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15339 SATICOY ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914063345",
            "telephone_number": "818-947-2011",
            "fax_number": "818-267-2696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARDASHTI",
        "first_name": "HONEY",
        "middle_name": "BANAYAN",
        "name_prefix": "Mrs.",
        "credential": "MASTERS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2012-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 48897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

Verify at the official NPI Registry.