Individual provider Active NPI

Stephanie Kavoulakos, M.A., LMFT

  • Marriage & Family Therapist
  • Sherman Oaks, CA
National Provider Identifier
1992949440
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
77366 Issued in CA
Practice address
4419 Van Nuys Blvd Ste 208
Sherman Oaks, CA 91403-5715
Phone
(818) 262-5990
NPI assigned
Apr 28, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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 77366 CA Primary

Addresses

Primary practice location

4419 Van Nuys Blvd Ste 208
Sherman Oaks, CA 91403-5715

Mailing address

4419 Van Nuys Blvd Ste 208
Sherman Oaks, CA 91403-5715
Phone (818) 262-5990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective May 15, 2026 through May 15, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
77366CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Whole Person Healing Therapy, a Marriage, Family & Individuals Counseling Corporation Marriage & Family Therapist Current Accepting new patients

Locations

4419 Van Nuys Blvd
Ste 208
Sherman Oaks, CA 91403
Phone (310) 906-0030

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": "1240876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1992949440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4419 VAN NUYS BLVD STE 208",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914035715",
            "telephone_number": "818-262-5990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4419 VAN NUYS BLVD STE 208",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914035715",
            "telephone_number": "818-262-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAVOULAKOS",
        "first_name": "STEPHANIE",
        "name_prefix": "Ms.",
        "credential": "M.A., LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-28",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "77366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

Verify at the official NPI Registry.