DR. MITRA AVARI LPCC AND LEP
NPI 1548794159
Psychologist in Los Angeles, CA

Active since April 20, 2017Opted out of Medicare · through Mar 14, 2028
12400 WILSHIRE BLVD., SUITE #230, LOS ANGELES, CA 90025(310) 388-7229 Get Directions Write a Review

NPPES record last updated: April 20, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Mitra Avari Lpcc And Lep NPPES

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

DR. MITRA AVARI LPCC AND LEP (NPI 1548794159) is an individual psychologist in Los Angeles, California, licensed in California (LEP2387) and active in the NPI registry since April 2017. She has opted out of Medicare through March 14, 2028.

NPPES Registry Identity

NPI1548794159
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. MITRA AVARICredential: LPCC AND LEP
Location Address12400 WILSHIRE BLVD., SUITE #230Los Angeles, CA 90025
Mailing Address454 South Palm DriveBeverly Hills, CA 90212 · (310) 388-7229
Sole ProprietorYes
Enumeration DateApril 20, 2017
NPI 1548794159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · LEP2387
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License LPCC3814 (CA)
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License LPCC3814 (CA)
12400 WILSHIRE BLVD., Los Angeles, CA 90025

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Mitra Avari Lpcc And Lep 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 March 14, 2024 through March 14, 2028.

Opt-Out Effective DateMarch 14, 2024
Opt-Out In Effect ThroughMarch 14, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Mitra Avari's NPI number?

The NPI number for Mitra Avari is 1548794159. It was assigned to this individual provider in the NPPES registry on April 20, 2017.

Where is Mitra Avari located?

Mitra Avari practices at 12400 Wilshire Blvd. Suite #230, Los Angeles, CA 90025. The listed phone number is (310) 388-7229.

What is Mitra Avari's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Mitra Avari enrolled in Medicare?

No. Mitra Avari has opted out of Medicare through March 14, 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 Mitra Avari was last updated on April 20, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.