Inner Freedom Individual, Relationship, and Marriage Counseling Corp

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

INNER FREEDOM INDIVIDUAL, RELATIONSHIP, AND MARRIAGE COUNSELING CORP

Practice address

415 N Camden Dr Ste 214
Beverly Hills, CA 90210-4439

Phone

(310) 993-8255

NPI assigned

Jun 22, 2021

Last updated

Jun 22, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Triva Ann Ponder, LMFTNPI 1104325208

Title

Owner

Phone

(310) 993-8255

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Triva Ann Ponder, LMFT

  • Marriage & Family Therapist
  • Glendale, CA
  • NPI 1104325208
  NPD Authorized official

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624320000000",
    "number": "1205405420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9663 SANTA MONICA BLVD # 862",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104303",
            "telephone_number": "310-993-8255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 N CAMDEN DR STE 214",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104439",
            "telephone_number": "310-993-8255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER FREEDOM INDIVIDUAL, RELATIONSHIP, AND MARRIAGE COUNSELING CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A",
        "authorized_official_last_name": "PONDER",
        "authorized_official_first_name": "TRIVA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-993-8255",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "innerfreedomconsulting.com",
            "affiliation": "N",
            "endpointDescription": "URL with encrypted contact, address, and phone number",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Address, encrypted contact page and phone number",
            "address_1": "415 N Camden Dr Ste 214",
            "city": "Beverly Hills",
            "state": "CA",
            "country_code": "US",
            "postal_code": "902104439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Marriage & Family Therapist in Beverly Hills, CA
• Providers in Beverly Hills, 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 22, 2021; 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.