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KEREN KHAZZAM MA. LMFT
NPI 1255193512
Marriage & Family Therapist in Encino, CA

Active since January 23, 2024Opted out of Medicare · through Jan 1, 2028
16055 VENTURA BLVD STE 1020, ENCINO, CA 91436(818) 668-7513 Get Directions Write a Review

NPPES record last updated: January 23, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Keren Khazzam Ma. Lmft NPPES

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

KEREN KHAZZAM MA. LMFT (NPI 1255193512) is an individual marriage & family therapist in Encino, California, licensed in California (LMFT112763) and active in the NPI registry since January 2024. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1255193512
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameKEREN KHAZZAMCredential: MA. LMFT
Location Address16055 VENTURA BLVD STE 1020Encino, CA 91436-2611
Mailing Address1940 Kelton AveLos Angeles, CA 90025-5702 · (310) 709-6489
Phone(818) 668-7513
Sole ProprietorYes
Enumeration DateJanuary 23, 2024
NPPES CertifiedJanuary 23, 2024
✔ NPI 1255193512 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 · LMFT112763
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.
16055 VENTURA BLVD STE 1020, Encino, CA 91436
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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

Keren Khazzam Ma. 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

Other Providers at the Same Location NPPES 4

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

DR. LINDSAY KIRIAKOS M.D.
Psychiatry & Neurology (Psychiatry)
16055 VENTURA BLVD STE 1020
ENCINO, CA 91436
Los Angeles County (310) 617-7549
ANXIETY THERAPY LA
Marriage & Family Therapist
16055 VENTURA BLVD STE 1020
ENCINO, CA 91436
Los Angeles County (310) 592-0597
ERICA RABINS
Marriage & Family Therapist
16055 VENTURA BLVD STE 1020
ENCINO, CA 91436
Los Angeles County (818) 319-0795
MICHELLE MASSI LMFT
Marriage & Family Therapist
16055 VENTURA BLVD STE 1020
ENCINO, CA 91436
Los Angeles County (310) 592-0597

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 Keren Khazzam's NPI number?

The NPI number for Keren Khazzam is 1255193512. It was assigned to this individual provider in the NPPES registry on January 23, 2024.

Where is Keren Khazzam located?

Keren Khazzam practices at 16055 Ventura Blvd Ste 1020, Encino, CA 91436. The listed phone number is (818) 668-7513.

What is Keren Khazzam's specialty?

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

Is Keren Khazzam enrolled in Medicare?

No. Keren Khazzam 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 Keren Khazzam was last updated on January 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.