| Meridian Counseling | |
|
11835 W Olympic Blvd Ste 815e Los Angeles CA 90064-5056 | |
| (323) 332-9905 | |
| Not Available |
| Full Name | Meridian Counseling |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 11835 W Olympic Blvd Ste 815e, Los Angeles, California |
| Authorized Official Name and Position | Sandra Kushnir (CEO) |
| Authorized Official Contact | 3104287240 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Meridian Counseling 11640 Gorham Ave Apt 4 Los Angeles CA 90049-4727 Ph: (310) 428-7240 | Meridian Counseling 11835 W Olympic Blvd Ste 815e Los Angeles CA 90064-5056 Ph: (323) 332-9905 |
| NPI Number | 1396202206 |
|---|---|
| Provider Enumeration Date | 02/27/2019 |
| Last Update Date | 03/20/2024 |
| Certification Date | 03/20/2024 |
| Medicare PECOS PAC ID | 6305284803 |
|---|---|
| Medicare Enrollment ID | O20240403001475 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396202206 | NPI | - | NPPES |
| 1780065045 | Other | CA | NPI 1 |
| Provider Name | Craig A Kaiser |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396760138 PECOS PAC ID: 2860496809 Enrollment ID: I20100222000557 |
| Provider Name | Edward Aldaz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639611627 PECOS PAC ID: 3971998196 Enrollment ID: I20220324001209 |
| Provider Name | Andrietta Barnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043648140 PECOS PAC ID: 4385875673 Enrollment ID: I20230314001816 |
| Provider Name | Nicholas Robert Koontz |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1821301292 PECOS PAC ID: 9335587286 Enrollment ID: I20240410003922 |
| Provider Name | Rebecca Ann Byler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265921118 PECOS PAC ID: 0244671808 Enrollment ID: I20240514000982 |
| Provider Name | Nadia Brewart |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1154731289 PECOS PAC ID: 5698117745 Enrollment ID: I20240521003901 |
| Provider Name | Rosario Tabares |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1073167458 PECOS PAC ID: 9436691771 Enrollment ID: I20240603000982 |
| Provider Name | Raymond Rabbani |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1033780499 PECOS PAC ID: 9537601802 Enrollment ID: I20240603002519 |
| Provider Name | Keith Parker |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1417078072 PECOS PAC ID: 7012459217 Enrollment ID: I20240604001024 |
| Provider Name | Lisa Palley |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1174120166 PECOS PAC ID: 9133661747 Enrollment ID: I20240611002962 |
| Provider Name | Natalie Claxton |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1215673884 PECOS PAC ID: 5799227195 Enrollment ID: I20240612002530 |
| Provider Name | Alexa Pirouti |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1518620137 PECOS PAC ID: 9436691847 Enrollment ID: I20240612002807 |
| Provider Name | Amy Giselle Ceballos |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1669099479 PECOS PAC ID: 2961945241 Enrollment ID: I20240614000868 |
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