Active NPI
Manar Fare Dahabreh, LMFT
- Marriage & Family Therapist
- Van Nuys, CA
National Provider Identifier
1902052269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT 91141
- Practice address
- 14515 Hamlin St
102
Van Nuys, CA 91411-1608 - Phone
- (818) 989-7475
- Fax
- (818) 908-2434
- NPI assigned
- Aug 18, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LMFT 91141 | CA | Primary |
Addresses
Primary practice location
14515 Hamlin St
102
Van Nuys, CA 91411-1608
Mailing address
14515 Hamlin St
102
Van Nuys, CA 91411-1608
Phone (818) 989-7475
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
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT 91141 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466121600000",
"number": "1902052269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14515 HAMLIN ST",
"address_2": "102",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914111608",
"telephone_number": "818-989-7475",
"fax_number": "818-908-2434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14515 HAMLIN ST",
"address_2": "102",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914111608",
"telephone_number": "818-989-7475",
"fax_number": "818-908-2434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAHABREH",
"first_name": "MANAR",
"middle_name": "FARE",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-18",
"last_updated": "2016-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT 91141",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.