Individual provider Active NPI

Ani Kitsinian, M.S., LMFT

  • Marriage & Family Therapist
  • Van Nuys, CA
National Provider Identifier
1982266847
Registry record updated Aug 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
109512 Issued in CA
Practice address
6739 Odessa Ave
Van Nuys, CA 91406-5747
Phone
(818) 650-0791
Fax
(818) 786-5778
NPI assigned
Jul 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2019

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 109512 CA Primary

Addresses

Primary practice location

6739 Odessa Ave
Van Nuys, CA 91406-5747

Mailing address

6739 Odessa Ave
Van Nuys, CA 91406-5747
Phone (818) 650-0791

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
109512CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566432000000",
    "number": "1982266847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6739 ODESSA AVE",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914065747",
            "telephone_number": "818-650-0791",
            "fax_number": "818-786-5778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6739 ODESSA AVE",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914065747",
            "telephone_number": "818-650-0791",
            "fax_number": "818-786-5778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITSINIAN",
        "first_name": "ANI",
        "credential": "M.S., LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-01",
        "last_updated": "2019-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "109512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; 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.