Cienna Alysse Palos

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT153758 Issued in CA

Practice address

3 Corporate Plaza Dr
Newport Beach, CA 92660-7905

Phone

(949) 919-0428

NPI assigned

Mar 19, 2022

Reactivated

May 2, 2023

Last updated

Apr 15, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Counseling4Kids, Inc.

  • Community/Behavioral Health Agency
  • Torrance, CA
  • NPI 1467597658
  NPD (past)

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

{
    "created_epoch": "1647648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1134878085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1483",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917118483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CORPORATE PLAZA DR",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607905",
            "telephone_number": "949-919-0428"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20101 Hamilton Ave Ste 160",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905021306",
            "country_code": "US",
            "telephone_number": "310-817-2177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALOS",
        "first_name": "CIENNA",
        "middle_name": "ALYSSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-19",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "deactivation_date": "2022-07-14",
        "reactivation_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "APCC11177",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT153758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jack Allen Palmer, M.D.
• Michelle Renee Palmer, PSYD
• Tyquasha Palmer
• Julie L Palmisano, MD
• Melanie Lealani Palomec
• Christine Palumbo I, AMFT
• Jessica Pambakian, AMFT
• Kuiyuan Pan, PT, DPT
• Patrick T. Pan, MD
• Dante Panella

• Marriage & Family Therapist in Newport Beach, CA
• Providers in Newport Beach, 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 Apr 15, 2025; 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.