Mahdouneh Imani, MFTI

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

17514 Ventura Blvd # 100-101
Encino, CA 91316-3852

Phone

(310) 529-5759

Fax

(310) 943-2373

NPI assigned

Sep 16, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1568592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568592000000",
    "number": "1992355507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2993 N BEVERLY GLEN CIR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771705",
            "telephone_number": "310-529-5759",
            "fax_number": "310-943-2373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17514 VENTURA BLVD # 100-101",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163852",
            "telephone_number": "310-529-5759",
            "fax_number": "310-943-2373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMANI",
        "first_name": "MAHDOUNEH",
        "credential": "MFTI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-16",
        "last_updated": "2019-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Encino, CA
• Providers in Encino, CA by specialty
• Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.