Individual provider Active NPI

Adrine Avetyan

  • Marriage & Family Therapist
  • Glendale, CA
National Provider Identifier
1972832681
Registry record updated Jul 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
81525 Issued in CA
Practice address
230 N Maryland Ave Ste 303
Glendale, CA 91206
Phone
(818) 934-1184
NPI assigned
Dec 9, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2018

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 81525 CA Primary

Addresses

Primary practice location

230 N Maryland Ave Ste 303
Glendale, CA 91206

Mailing address

230 N Maryland Ave Ste 303
Glendale, CA 91206-4281
Phone (818) 934-1184

Other practice location 1

16800 Devonshire St Ste 212
Granada Hills, CA 91344-7409
Phone (818) 934-1184

Other practice location 2

3655 Alamo St Ste 202
Simi Valley, CA 93063-2187
Phone (818) 934-1184

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

LicenseStateTypeSpecialty
81525CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1260316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532563200000",
    "number": "1972832681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 N MARYLAND AVE STE 303",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064281",
            "telephone_number": "818-934-1184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 N MARYLAND AVE STE 303",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "91206",
            "telephone_number": "818-934-1184"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16800 Devonshire St Ste 212",
            "address_purpose": "LOCATION",
            "city": "Granada Hills",
            "state": "CA",
            "postal_code": "913447409",
            "country_code": "US",
            "telephone_number": "818-934-1184",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3655 Alamo St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Simi Valley",
            "state": "CA",
            "postal_code": "930632187",
            "country_code": "US",
            "telephone_number": "818-934-1184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AVETYAN",
        "first_name": "ADRINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-09",
        "last_updated": "2018-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "81525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.