Organization Active NPI

Cross Cultural Marriage and Familytherapy Counselling Ce

  • Marriage & Family Therapist
  • Redlands, CA
National Provider Identifier
1063751303
Registry record updated May 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
CROSS CULTURAL MARRIAGE AND FAMILYTHERAPY COUNSELLING CE
Practice address
535 W State St
Suite # C
Redlands, CA 92373-4662
Phone
(562) 522-8008
Fax
(909) 335-5991
NPI assigned
Feb 6, 2013
Organization subpart
Yes
Parent organization
CROSS CULTURAL MFT COUNSELING CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 3, 2013

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

Authorized official

Name
Ms. Betty B.a. Odak, LMFTNPI 1326218611
Title
Clinical Director
Phone
(562) 522-8008

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X CA Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

535 W State St
Suite # C
Redlands, CA 92373-4662

Mailing address

PO Box 10908
San Bernardino, CA 92423-0908
Phone (562) 522-8008

Other names 1

  • Cross Cultural MFT Counseling Center, Inc Other name

National Provider Directory

National Provider Directory
Part of
Cross Cultural Marriage and Familytherapy Counselling Ce

Locations

535 W State St
Ste C
Redlands, CA 92373
Phone (562) 522-8008

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": "1360108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367539200000",
    "number": "1063751303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10908",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924230908",
            "telephone_number": "562-522-8008",
            "fax_number": "909-335-5991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 W STATE ST",
            "address_2": "SUITE # C",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734662",
            "telephone_number": "562-522-8008",
            "fax_number": "909-335-5991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSS CULTURAL MARRIAGE AND FAMILYTHERAPY COUNSELLING CE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CROSS CULTURAL MFT COUNSELING CENTER",
        "enumeration_date": "2013-02-06",
        "last_updated": "2013-05-03",
        "status": "A",
        "authorized_official_last_name": "ODAK",
        "authorized_official_first_name": "BETTY",
        "authorized_official_middle_name": "B.A.",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "562-522-8008",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cross Cultural MFT Counseling Center, Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 May 3, 2013; 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.