Individual provider Active NPI

Phoebe Pantaleon-Fathallah, LMFT

  • Marriage & Family Therapist
  • Covina, CA
National Provider Identifier
1255962338
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
141555 Issued in CA
Practice address
440 N Barranca Ave # 4445
Covina, CA 91723-1722
Phone
(424) 625-5561
NPI assigned
Jan 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X AMFT126592 CA
Marriage & Family Therapist 106H00000X 0717002572 VA
Marriage & Family Therapist 106H00000X 141555 CA Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X R1381670320 CA
Marriage & Family Therapist 106H00000X TPMF1927 FL

Addresses

Primary practice location

440 N Barranca Ave # 4445
Covina, CA 91723-1722

Mailing address

440 N Barranca Ave # 4445
Covina, CA 91723-1722
Phone (424) 625-5561

Other names 1

  • Phoebe Pantaleon Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
R1381670320CAMDAddiction (Substance Use Disorder) Counselor
141555CAMDMarriage & Family Therapist
AMFT126592CAMDMarriage & Family Therapist
TPMF1927FLMDMarriage & Family Therapist
0717002572VAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hope House Corporation PastSince Feb 2, 2020 Accepting new patients
Theraperspectives Family Counseling Inc. Marriage & Family Therapist Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1580169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1255962338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 N BARRANCA AVE # 4445",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231722",
            "telephone_number": "424-625-5561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 N BARRANCA AVE # 4445",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231722",
            "telephone_number": "424-625-5561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANTALEON-FATHALLAH",
        "first_name": "PHOEBE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-28",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT126592",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0717002572",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "141555",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "R1381670320",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "TPMF1927",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PHOEBE",
            "last_name": "PANTALEON",
            "credential": "LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Covina, CA

Sources for this page

Verify at the official NPI Registry.