Active NPI
Cross Cultural Marriage and Familytherapy Counselling Ce
- Marriage & Family Therapist
- Redlands, CA
National Provider Identifier
1063751303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- 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 CENTER
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Betty B.a. Odak, LMFT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 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
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.
-
- Marriage & Family Therapist
- Redlands, CA
- NPI 1326218611
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.