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MRS. ANGELICA MARIE CHURCHIAN LMFT
NPI 1003474636
Marriage & Family Therapist in Pacoima, CA

Active since May 29, 2019Opted out of Medicare · through Jan 1, 2028
11643 GLENOAKS BLVD, PACOIMA, CA 91331(310) 751-5408 Get Directions Write a Review

NPPES record last updated: May 7, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 7, 2021, May 29, 2019 (2 updates tracked since 2019).

About Mrs. Angelica Marie Churchian Lmft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. ANGELICA MARIE CHURCHIAN LMFT (NPI 1003474636) is an individual marriage & family therapist in Pacoima, California, licensed in California (125124) and active in the NPI registry since May 2019. She has opted out of Medicare through January 1, 2028 and maintains a secondary practice location in Van Nuys.

NPPES Registry Identity

NPI1003474636
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMRS. ANGELICA MARIE CHURCHIANCredential: LMFT
Location Address11643 GLENOAKS BLVDPacoima, CA 91331-1099
Mailing Address4760 Sepulveda BlvdCulver City, CA 90230-4820 · (310) 390-6612
Phone(310) 751-5408
Sole ProprietorNo
Enumeration DateMay 29, 2019
Last NPPES UpdateMay 7, 20212 updates tracked since enumeration
NPPES CertifiedMay 7, 2021
✔ NPI 1003474636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 125124
Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

11643 GLENOAKS BLVD, Pacoima, CA 91331
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Secondary Practice Location 1

Location 17840 Amestoy AveVan Nuys, CA 91406-1601 · Phone (818) 331-6003

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mrs. Angelica Marie Churchian Lmft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NADINE LINARES
Counselor
11643 GLENOAKS BLVD
PACOIMA, CA 91331
Los Angeles County (818) 897-2609
SONYA ROJAS
Counselor (Addiction (Substance Use Disorder))
11643 GLENOAKS BLVD
PACOIMA, CA 91331
Los Angeles County (818) 897-2609
MADELEINE MARIE SEELEY
Counselor (Addiction (Substance Use Disorder))
11643 GLENOAKS BLVD
PACOIMA, CA 91331
Los Angeles County (818) 897-2609
CHRISSY WENDEL SMITH
Counselor (Addiction (Substance Use Disorder))
11643 GLENOAKS BLVD
PACOIMA, CA 91331
Los Angeles County (818) 897-2606
ALEXUS MARES
Counselor (Addiction (Substance Use Disorder))
11643 GLENOAKS BLVD
PACOIMA, CA 91331
Los Angeles County (818) 897-2609
FINA SANCHEZ
Counselor (Addiction (Substance Use Disorder))
11643 GLENOAKS BLVD
PACOIMA, CA 91331
Los Angeles County (818) 897-2609
TANIA MELISSA DURAN
Counselor (Addiction (Substance Use Disorder))
11643 GLENOAKS BLVD
PACOIMA, CA 91331
Los Angeles County (818) 897-2609
LORIE WALLACE
Community Health Worker
11643 GLENOAKS BLVD
PACOIMA, CA 91331
Los Angeles County (818) 897-2609

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angelica Churchian's NPI number?

The NPI number for Angelica Churchian is 1003474636. It was assigned to this individual provider in the NPPES registry on May 29, 2019.

Where is Angelica Churchian located?

Angelica Churchian practices at 11643 Glenoaks Blvd, Pacoima, CA 91331. The listed phone number is (310) 751-5408.

What is Angelica Churchian's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Angelica Churchian enrolled in Medicare?

No. Angelica Churchian has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Angelica Churchian was last updated on May 7, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.