Hope Avenue Marriage and Family Therapy Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

HOPE AVENUE MARRIAGE AND FAMILY THERAPY INC.

Practice address

1400 E Cooley Dr Ste 200a
Colton, CA 92324-3939

Phone

(909) 295-5295

Fax

(909) 295-5295

NPI assigned

Feb 25, 2020

Organization subpart

No

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

Authorized official

Name

Anthony Shawn Carson, LMFT 111892NPI 1225420201

Title

Owner, Ceo

Phone

(909) 708-5849

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anthony Shawn Carson, LMFT

  • Marriage & Family Therapist
  • Colton, CA
  • NPI 1225420201
  NPD Authorized official
• Sindia Lucia Slack

  • Marriage & Family Therapist
  • Colton, CA
  • NPI 1851951883
  NPD
• Tiya Johnson, LPCC

  • Professional Counselor
  • Colton, CA
  • NPI 1881349181
  NPD (past)

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

{
    "created_epoch": "1582588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582588800000",
    "number": "1235763574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E COOLEY DR STE 200A",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923243939",
            "telephone_number": "909-295-5295",
            "fax_number": "909-295-5295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E COOLEY DR STE 200A",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923243939",
            "telephone_number": "909-295-5295",
            "fax_number": "909-295-5295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE AVENUE MARRIAGE AND FAMILY THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-25",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A",
        "authorized_official_last_name": "CARSON",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "SHAWN",
        "authorized_official_title_or_position": "OWNER, CEO",
        "authorized_official_telephone_number": "909-708-5849",
        "authorized_official_credential": "LMFT 111892"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kenneth H Hong, D.C.
• Lorena Estefania Hong
• Jenny Hoong
• Mark Hopper
• Jennifer Haslem Horan, DO
• Sean Patrick Hormozian
• Tiffany Mae Horn, BA
• Jessica Sophie Horoschak

• Community/Behavioral Health Agency in Colton, CA
• Providers in Colton, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; 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.