Organization Active NPI

Lance J Johns Marriage and Family Therapy Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Redlands, CA
National Provider Identifier
1013516350
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
LANCE J JOHNS MARRIAGE AND FAMILY THERAPY INC
Doing business as
Changeful
Practice address
301 9TH St Ste 100-173
Redlands, CA 92374-4412
Phone
(909) 654-5992
NPI assigned
Oct 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lance JohnsNPI 1871945048
Title
Ceo
Phone
(951) 271-6356

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

301 9TH St Ste 100-173
Redlands, CA 92374-4412

Mailing address

1255 W Colton Ave
Redlands, CA 92374-2861
Phone (909) 654-5992

Other names 1

  • Changeful Doing business as

National Provider Directory

National Provider Directory

Locations

301 9th St
Ste 100173
Redlands, CA 92374
Phone (909) 654-5992

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712188800000",
    "number": "1013516350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 W COLTON AVE",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923742861",
            "telephone_number": "909-654-5992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 9TH ST STE 100-173",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923744412",
            "telephone_number": "909-654-5992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANCE J JOHNS MARRIAGE AND FAMILY THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-19",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A",
        "authorized_official_last_name": "JOHNS",
        "authorized_official_first_name": "LANCE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-271-6356"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Changeful",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Changeful",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Redlands, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.