Mia Ashforth Goldman, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

111262 Issued in CA

Practice address

9171 Wilshire Blvd Ste 680
Beverly Hills, CA 90210-5542

Phone

(310) 502-0166

NPI assigned

Sep 18, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective May 6, 2024 through May 6, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1568764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568764800000",
    "number": "1891345153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10311 MONTE MAR DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900643428",
            "telephone_number": "310-502-0166",
            "fax_number": "310-558-3885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9171 WILSHIRE BLVD STE 680",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105542",
            "telephone_number": "310-502-0166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "MIA",
        "middle_name": "ASHFORTH",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-18",
        "last_updated": "2019-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "111262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David B Golden, M.D.
• Peter Michael Golden, M.D.
• Mark H. Goldenberg, D.D.S.
• Jonathan Joseph Goldfinger, M.D., M.P.H
• Marni Goldman, LCSW
• Nancy Sue Goldman, MD
• James S Goldrich, M.D.
• Hillary Goldsher
• Amy Goldstein, M.F.T.
• Carin L Goldstein, MA MFF

• Marriage & Family Therapist in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.