KHRISTIAN DURHAM
NPI 1144987694
Counselor - Professional in Los Angeles, CA

Active since November 18, 2021PECOS Enrolled
1910 HILLHURST AVE, LOS ANGELES, CA 90027(626) 541-7829 Get Directions Write a Review

NPPES record last updated: April 25, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Khristian Durham NPPES

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

KHRISTIAN DURHAM (NPI 1144987694) is an individual professional provider in Los Angeles, California, licensed in California (LPCC13759) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in West Covina.

NPPES Registry Identity

NPI1144987694
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKHRISTIAN DURHAM
Location Address1910 HILLHURST AVELos Angeles, CA 90027-2712
Mailing Address2004 Barham AveWest Covina, CA 91792-1513
Sole ProprietorYes
Enumeration DateNovember 18, 2021
Last NPPES UpdateApril 25, 2023
NPPES CertifiedApril 25, 2023
✔ NPI 1144987694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in CA · LPCC13759✔ Licensed in CA · APCC8571
1910 HILLHURST AVE, Los Angeles, CA 90027

Secondary Practice Location 1

Location 12004 Barham AveWest Covina, CA 91792-1513 · Phone (626) 541-7829

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Khristian Durham is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Khristian Durham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 8

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

Marriage & Family Therapist
1910 HILLHURST AVE
LOS ANGELES, CA 90027
Marriage & Family Therapist
1910 HILLHURST AVE
LOS ANGELES, CA 90027
Marriage & Family Therapist
1910 HILLHURST AVE
LOS ANGELES, CA 90027
Counselor (Mental Health)
1910 HILLHURST AVE
LOS ANGELES, CA 90027
Clinic/Center
1910 HILLHURST AVE
LOS ANGELES, CA 90027
Social Worker (Clinical)
1910 HILLHURST AVE
LOS ANGELES, CA 90027
Marriage & Family Therapist
1910 HILLHURST AVE
LOS ANGELES, CA 90027
Marriage & Family Therapist
1910 HILLHURST AVE
LOS ANGELES, CA 90027

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 Khristian Durham's NPI number?

The NPI number for Khristian Durham is 1144987694. It was assigned to this individual provider in the NPPES registry on November 18, 2021.

Where is Khristian Durham located?

Khristian Durham practices at 1910 Hillhurst Ave, Los Angeles, CA 90027. The listed phone number is (626) 541-7829.

What is Khristian Durham's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Khristian Durham enrolled in Medicare?

Yes. Khristian Durham is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Khristian Durham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Khristian Durham reassigns Medicare benefits to Grow Healthcare Group PC (San Jose, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Khristian Durham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Khristian Durham was last updated on April 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.