Active NPI
Afsaneh Yocheved Balakhaneh, LCSW
- Counselor
- North Hollywood, CA
National Provider Identifier
1962998104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 28730
- Practice address
- 4605 Lankershim Blvd Ste 720
North Hollywood, CA 91602-1878 - Phone
- (310) 270-5523
- NPI assigned
- Jul 10, 2018
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 28730 | CA | Primary |
Addresses
Primary practice location
4605 Lankershim Blvd Ste 720
North Hollywood, CA 91602-1878
Mailing address
4605 Lankershim Blvd Ste 720
North Hollywood, CA 91602-1878
Phone (310) 270-5523
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28730 | CA | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bona Fide Hospice Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community Based Hospice Care Agency
- Van Nuys, CA
- NPI 1407471535
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721174400000",
"number": "1962998104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4605 LANKERSHIM BLVD STE 720",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916021878",
"telephone_number": "310-270-5523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4605 LANKERSHIM BLVD STE 720",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916021878",
"telephone_number": "310-270-5523"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALAKHANEH",
"first_name": "AFSANEH",
"middle_name": "YOCHEVED",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-10",
"last_updated": "2024-07-17",
"certification_date": "2024-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CA",
"license": "28730",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.