Organization Active NPI

Trinity Thrive Marriage and Family Therapy Center, Inc

  • Marriage & Family Therapist
  • San Dimas, CA
National Provider Identifier
1043978570
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
TRINITY THRIVE MARRIAGE AND FAMILY THERAPY CENTER, INC
Practice address
358 E Bonita Ave Ste B
San Dimas, CA 91773-3172
Phone
(909) 413-4814
NPI assigned
Dec 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2021

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

Authorized official

Name
Jeanette LunaNPI 1962160499
Title
Owner
Phone
(909) 579-7420

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
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

358 E Bonita Ave Ste B
San Dimas, CA 91773-3172

Mailing address

358 E Bonita Ave Ste B
San Dimas, CA 91773-3172
Phone (909) 413-4814

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL SimplePractice Other

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1638316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638316800000",
    "number": "1043978570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "358 E BONITA AVE STE B",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917733172",
            "telephone_number": "909-413-4814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "358 E BONITA AVE STE B",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917733172",
            "telephone_number": "909-413-4814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY THRIVE MARRIAGE AND FAMILY THERAPY CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-01",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A",
        "authorized_official_last_name": "LUNA",
        "authorized_official_first_name": "JEANETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-579-7420"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "SimplePractice",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "SimplePractice",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "SimplePractice",
            "address_1": "358 E Bonita Ave Ste B",
            "city": "San Dimas",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917733172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Dimas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; 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.