Individual provider Active NPI

Gohar Karen Amirkhanyan

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1932451234
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
90916 Issued in CA
Practice address
1925 Daly St
2ND Floor
Los Angeles, CA 90031-3309
Phone
(323) 226-4448
NPI assigned
Oct 10, 2012
Last updated
Sep 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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 90916 CA Primary

Addresses

Primary practice location

1925 Daly St
2ND Floor
Los Angeles, CA 90031-3309

Mailing address

20151 Nordhoff St
Chatsworth, CA 91311-6215
Phone (818) 407-3200

Other identifiers 1

IdentifierTypeStateIssuer
953893470OtherCAMEDICAL

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
I20240306002039 CA Practitioner - Marriage and Family Therapist 6204272867 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Soultenders IncGroup PAC ID 6507170453, 113 clinicians

Practice addresses (Care Compare)

419 W Foothill Blvd
Monrovia, CA 91016-2025
Phone (626) 701-4249

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Los Angeles County Department of Mental Health Current Accepting new patients
Soultenders, Inc. CurrentSince Dec 1, 2024 Accepting new patients
Soultenders Psychological Services, Inc. CurrentSince Jul 2, 2026 Accepting new patients
Los Angeles County Department of Mental Health CurrentSince Jan 8, 2024 Accepting new patients
Los Angeles County Department of Mental Health CurrentSince Jan 8, 2024 Accepting new patients
Countywide Resource Management Past Accepting new patients

Locations

41 E Foothill Blvd
Ste 102
Arcadia, CA 91006
Phone (626) 701-4249

20151 Nordhoff St
Chatsworth, CA 91311
Phone (818) 407-3200

10515 Balboa Blvd
Granada Hills, CA 91344
Phone (818) 486-3837

510 S Vermont Ave
Fl 19
Los Angeles, CA 90020
Phone (213) 480-3416

419 W Foothill Blvd
Monrovia, CA 91016
Phone (626) 701-4249

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1349827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1932451234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20151 NORDHOFF ST",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913116215",
            "telephone_number": "818-407-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 DALY ST",
            "address_2": "2ND FLOOR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900313309",
            "telephone_number": "323-226-4448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMIRKHANYAN",
        "first_name": "GOHAR",
        "middle_name": "KAREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-10",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "90916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "953893470",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.