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AUDRA NICOLE KOUROSMEHR
NPI 1700570363
Counselor - Addiction (Substance Use Disorder) in Pasadena, CA

Active since June 06, 2023
1450 N LAKE AVE STE 150, PASADENA, CA 91104(626) 794-1161 Get Directions Write a Review

NPPES record last updated: July 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 16, 2024, Jun 6, 2023 (2 updates tracked since 2023).

About Audra Nicole Kourosmehr NPPES

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

AUDRA NICOLE KOUROSMEHR (NPI 1700570363) is an individual addiction (substance use disorder) provider in Pasadena, California and active in the NPI registry since June 2023. She maintains a secondary practice location in Riverside.

NPPES Registry Identity

NPI1700570363
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameAUDRA NICOLE KOUROSMEHR
Location Address1450 N LAKE AVE STE 150Pasadena, CA 91104-2388
Mailing Address1450 N Lake Ave Ste 150Pasadena, CA 91104-2388 · (626) 794-1161
Phone(626) 794-1161
Sole ProprietorNo
Enumeration DateJune 6, 2023
Last NPPES UpdateJuly 16, 20242 updates tracked since enumeration
NPPES CertifiedJuly 16, 2024
✔ NPI 1700570363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
1450 N LAKE AVE STE 150, Pasadena, CA 91104
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Secondary Practice Location 1

Location 12452 Wilshire StRiverside, CA 92501-2144 · Phone (951) 682-6631

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.

MADISON HENG YUNG HONG
Registered Nurse
1450 N LAKE AVE STE 150
PASADENA, CA 91104
Los Angeles County (626) 794-1161
MARIAISABEL RUIZ VASQUEZ
Counselor (Addiction (Substance Use Disorder))
1450 N LAKE AVE STE 150
PASADENA, CA 91104
Los Angeles County (626) 794-1161
KAITLIN Y LOPEZ
Counselor (Addiction (Substance Use Disorder))
1450 N LAKE AVE STE 150
PASADENA, CA 91104
Los Angeles County (626) 794-1161
NATIONWIDE MEDICAL GROUP, INC
Clinic/Center (Community Health)
1450 N LAKE AVE STE 150
PASADENA, CA 91104
Los Angeles County (626) 794-1161
GINGER ANNE BROOKS LPT
Licensed Psychiatric Technician
1450 N LAKE AVE STE 150
PASADENA, CA 91104
Los Angeles County (626) 794-1161
FRITZY CARRETO
Licensed Vocational Nurse
1450 N LAKE AVE STE 150
PASADENA, CA 91104
Los Angeles County (626) 794-1161
SYDNEY MIKEL EVANS
Licensed Vocational Nurse
1450 N LAKE AVE STE 150
PASADENA, CA 91104
Los Angeles County (626) 794-1161
AEGIS TREATMENT CENTERS, LLC
Clinic/Center (Methadone)
1450 N LAKE AVE STE 150
PASADENA, CA 91104
Los Angeles County (626) 794-1161

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 Audra Kourosmehr's NPI number?

The NPI number for Audra Kourosmehr is 1700570363. It was assigned to this individual provider in the NPPES registry on June 6, 2023.

Where is Audra Kourosmehr located?

Audra Kourosmehr practices at 1450 N Lake Ave Ste 150, Pasadena, CA 91104. The listed phone number is (626) 794-1161.

What is Audra Kourosmehr's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Audra Kourosmehr was last updated on July 16, 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.