Lisa J. Hacken, APCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

7007 Issued in CA

Practice address

18226 Ventura Blvd Ste 202
Tarzana, CA 91356-4246

Phone

(818) 758-9450

NPI assigned

Nov 15, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 5, 2024 through Jan 5, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Atiya Malik

  • Marriage & Family Therapist
  • Tarzana, CA
  • NPI 1487448858
  NPD

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

{
    "created_epoch": "1573776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573776000000",
    "number": "1962047605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18226 VENTURA BLVD STE 202",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564246",
            "telephone_number": "818-758-9450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18226 VENTURA BLVD STE 202",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564246",
            "telephone_number": "818-758-9450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACKEN",
        "first_name": "LISA",
        "middle_name": "J.",
        "credential": "APCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-15",
        "last_updated": "2019-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "7007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katharine Gutshall, M.A., B.C.B.A.
• Guziel & Schoenfeld Nephrology & Internal Medicine Affiliates
• Suzie Gyadikyan
• Ernest Gyolchyan, DPT
• Ani Gyulamjyan
• Christine Hacobian, M.S., CCC-SLP
• Hamed Haghnazar, MD, MPH
• Nilufar Haider, MS, OTR/L
• Charlotte Victoria Haigh, MS
• Zenebe Haile

• Professional Counselor in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.