Phoenix House California - Lake View Terrace

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

PHOENIX HOUSE CALIFORNIA - LAKE VIEW TERRACE

Practice address

11600 Eldridge Ave
Lake View Terrace, CA 91342-6506

Phone

(800) 686-3000

NPI assigned

Jun 29, 2026

Organization subpart

No

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

Authorized official

Name

Jordan House Goldstein, AMFT

Title

Marriage & Family Therapist

Phone

(657) 270-4960

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1782691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782691200000",
    "number": "1083530596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11600 ELDRIDGE AVE",
            "city": "LAKE VIEW TERRACE",
            "state": "CA",
            "postal_code": "913426506",
            "telephone_number": "800-686-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11600 ELDRIDGE AVE",
            "city": "LAKE VIEW TERRACE",
            "state": "CA",
            "postal_code": "913426506",
            "telephone_number": "800-686-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX HOUSE CALIFORNIA - LAKE VIEW TERRACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-29",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-28",
        "status": "A",
        "authorized_official_last_name": "GOLDSTEIN",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "HOUSE",
        "authorized_official_title_or_position": "MARRIAGE & FAMILY THERAPIST",
        "authorized_official_telephone_number": "657-270-4960",
        "authorized_official_credential": "AMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa A Pasqualino, M.A.
• Huma Pekcan
• Julissa Nohemi Pelayo
• Jessica Adelina Perez, BA
• Christie Perkins, MFT INTERN
• Phoenix House Foundation
• Phoenix Houses of Los Angeles
• Phoenix Houses of Los Angeles, Inc.
• Phoenix Houses of Los Angeles, Inc.
• Maritza Dalila Piedrasanta

• Marriage & Family Therapist in Lake View Terrace, CA
• Providers in Lake View Terrace, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; 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.