Individual provider Active NPI

Melissa Jean Dellens, M.A., LMFT

  • Marriage & Family Therapist
  • Pasadena, CA
National Provider Identifier
1053906693
Registry record updated Dec 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT143128 Issued in CA
Practice address
65 N Raymond Ave Ste 330
Pasadena, CA 91103-3947
Phone
(323) 810-9681
NPI assigned
Mar 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X AMFT123991 CA
Marriage & Family Therapist 106H00000X LMFT143128 CA Primary

Addresses

Primary practice location

65 N Raymond Ave Ste 330
Pasadena, CA 91103-3947

Mailing address

65 N Raymond Ave Ste 330
Pasadena, CA 91103-3947
Phone (323) 810-9681

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
AMFT123991CAMDMarriage & Family Therapist
LMFT143128CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1614902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703980800000",
    "number": "1053906693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 N RAYMOND AVE STE 330",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911033947",
            "telephone_number": "323-810-9681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 N RAYMOND AVE STE 330",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911033947",
            "telephone_number": "323-810-9681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELLENS",
        "first_name": "MELISSA",
        "middle_name": "JEAN",
        "credential": "M.A., LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-05",
        "last_updated": "2023-12-31",
        "certification_date": "2023-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT123991",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT143128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.