Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MS. STEPHANIE KAVOULAKOS M.A., LMFT
NPI 1992949440
Marriage & Family Therapist in Sherman Oaks, CA

Q: What is Stephanie Kavoulakos's NPI number?

The NPI number for Stephanie Kavoulakos is 1992949440. It was assigned to this individual provider in the NPPES registry on April 28, 2009.

Q: What is Stephanie Kavoulakos's specialty?

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

Q: Is Stephanie Kavoulakos enrolled in Medicare?

No. Stephanie Kavoulakos has opted out of Medicare through May 15, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Active since April 28, 2009Opted out of Medicare · through May 15, 2028

4419 VAN NUYS BLVD STE 208, SHERMAN OAKS, CA 91403(818) 262-5990 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ms. Stephanie Kavoulakos M.a., Lmft NPPES

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

MS. STEPHANIE KAVOULAKOS M.A., LMFT (NPI 1992949440) is an individual marriage & family therapist in Sherman Oaks, California, licensed in California (77366) and active in the NPI registry since April 2009. She has opted out of Medicare through May 15, 2028.

NPPES Registry Identity

NPI1992949440

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMS. STEPHANIE KAVOULAKOSCredential: M.A., LMFT

Location Address4419 VAN NUYS BLVD STE 208Sherman Oaks, CA 91403-5715

Mailing Address4419 Van Nuys Blvd Ste 208Sherman Oaks, CA 91403-5715 · (818) 262-5990

Phone(818) 262-5990

Sole ProprietorYes

Enumeration DateApril 28, 2009

Last NPPES UpdateJune 15, 2026

NPPES CertifiedJune 15, 2026

✔ NPI 1992949440 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 · 77366

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.

4419 VAN NUYS BLVD STE 208, Sherman Oaks, CA 91403

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Ms. Stephanie Kavoulakos M.a., 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 May 15, 2026 through May 15, 2028.

Opt-Out Effective DateMay 15, 2026

Opt-Out In Effect ThroughMay 15, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 5

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

MR. NAZILA AMIGHI LMFT

Marriage & Family Therapist