Individual provider Active NPI

Salin Maleki-Petrossian, LMFT

  • Marriage & Family Therapist
  • Montrose, CA
National Provider Identifier
1972323970
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT140225 Issued in CA
Practice address
2331 Honolulu Ave Suite G/H
Montrose, CA 91020
Phone
(818) 915-5700
NPI assigned
Oct 14, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 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 LMFT140225 CA Primary

Addresses

Primary practice location

2331 Honolulu Ave Suite G/H
Montrose, CA 91020

Mailing address

2535 Hermosa Ave
Montrose, CA 91020-1801
Phone (818) 720-1396

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
I20250124001069 CA Practitioner - Marriage and Family Therapist 1557890217 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMFT140225CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
True North Counseling Inc CurrentSince Dec 12, 2024 Accepting new patients

Locations

2331 Honolulu Ave
Ste Gh
Montrose, CA 91020
Phone (818) 915-5700

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.

NPI Registry JSON

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

{
    "created_epoch": "1728864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1972323970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2535 HERMOSA AVE",
            "city": "MONTROSE",
            "state": "CA",
            "postal_code": "910201801",
            "telephone_number": "818-720-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2331 HONOLULU AVE SUITE G/H",
            "city": "MONTROSE",
            "state": "CA",
            "postal_code": "91020",
            "telephone_number": "818-915-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALEKI-PETROSSIAN",
        "first_name": "SALIN",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-14",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT140225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montrose, CA

Sources for this page

Verify at the official NPI Registry.