AGAVNI TERZYAN
NPI 1811575111
Marriage & Family Therapist in Burbank, CA

Active since March 30, 2021PECOS EnrolledAccepts Medicare Assignment
1069 E SANTA ANITA AVE, BURBANK, CA 91501(818) 237-7107 Get Directions Write a Review

NPPES record last updated: March 19, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 19, 2026, Jun 10, 2021, Mar 30, 2021 (3 updates tracked since 2021).

About Agavni Terzyan NPPES

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

AGAVNI TERZYAN (NPI 1811575111) is an individual marriage & family therapist in Burbank, California, licensed in California (156687) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1811575111
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameAGAVNI TERZYAN
Location Address1069 E SANTA ANITA AVEBurbank, CA 91501-1509
Mailing Address10526 Dubnoff WayNorth Hollywood, CA 91606-3921 · (818) 755-4950 · Fax (818) 752-0783
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 30, 2021
Last NPPES UpdateMarch 19, 20263 updates tracked since enumeration
NPPES CertifiedMarch 19, 2026
✔ NPI 1811575111 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 · 156687
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.
1069 E SANTA ANITA AVE, Burbank, CA 91501

Other Identifiers 1

Other95-2633765CA · Medi-cal

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Agavni Terzyan is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739685512
PECOS Enrollment IDI20251001000701
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 Agavni Terzyan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychiatry
5214F DIAMOND HEIGHTS BLVD # 345
San Francisco, CA 94131
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Brightside Medical PC
  • 63 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.

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 Agavni Terzyan's NPI number?

The NPI number for Agavni Terzyan is 1811575111. It was assigned to this individual provider in the NPPES registry on March 30, 2021.

Where is Agavni Terzyan located?

Agavni Terzyan practices at 1069 E Santa Anita Ave, Burbank, CA 91501. The listed phone number is (818) 237-7107.

What is Agavni Terzyan's specialty?

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

Is Agavni Terzyan enrolled in Medicare?

Yes. Agavni Terzyan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Agavni Terzyan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Agavni Terzyan reassigns Medicare benefits to Brightside Medical, P.C. (San Francisco, 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 Agavni Terzyan'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 Agavni Terzyan was last updated on March 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.