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XIAODAN HELEN ALTENBACH AMFT
NPI 1124750732
Counselor - Mental Health in Los Angeles, CA

Active since June 30, 2022Opted out of Medicare · through Jun 4, 2028
1225 CYPRESS AVE, STE 3 #V203, LOS ANGELES, CA 90065(818) 641-5883 Get Directions Write a Review

NPPES record last updated: June 30, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Xiaodan Helen Altenbach Amft NPPES

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

XIAODAN HELEN ALTENBACH AMFT (NPI 1124750732) is an individual mental health provider in Los Angeles, California, licensed in California (132673) and active in the NPI registry since June 2022. She has opted out of Medicare through June 4, 2028.

NPPES Registry Identity

NPI1124750732
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameXIAODAN HELEN ALTENBACHCredential: AMFT
Location Address1225 CYPRESS AVE, STE 3 #V203Los Angeles, CA 90065
Mailing Address1225 Cypress Ave, Ste 3 #v203Los Angeles, CA 90065 · (818) 641-5883
Phone(818) 641-5883
Sole ProprietorYes
Enumeration DateJune 30, 2022
NPPES CertifiedJune 25, 2022
✔ NPI 1124750732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CA · 132673
1225 CYPRESS AVE, Los Angeles, CA 90065
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Xiaodan Helen Altenbach Amft 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 June 4, 2024 through June 4, 2028.

Opt-Out Effective DateJune 4, 2024
Opt-Out In Effect ThroughJune 4, 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

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

SOL Y SOMBRA LICENSED CLINICAL SOCIAL WORKER INC.
Social Worker (Clinical)
1225 CYPRESS AVE, STE 3 V411
LOS ANGELES, CA 90065
Los Angeles County (323) 505-2457

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 Xiaodan Altenbach's NPI number?

The NPI number for Xiaodan Altenbach is 1124750732. It was assigned to this individual provider in the NPPES registry on June 30, 2022.

Where is Xiaodan Altenbach located?

Xiaodan Altenbach practices at 1225 Cypress Ave Ste 3 #v203, Los Angeles, CA 90065. The listed phone number is (818) 641-5883.

What is Xiaodan Altenbach's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Xiaodan Altenbach enrolled in Medicare?

No. Xiaodan Altenbach has opted out of Medicare through June 4, 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 Xiaodan Altenbach was last updated on June 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.