Organization Active NPI

Kellum Lewis, Marriage & Family Therapist, Inc.

Doing business as Clarity & Growth Center for Psychotherapy

  • Marriage & Family Therapist
  • Pasadena, CA
National Provider Identifier
1275319311
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
KELLUM LEWIS, MARRIAGE & FAMILY THERAPIST, INC.
Doing business as
Clarity & Growth Center for Psychotherapy
Practice address
95 N Marengo Ave Ste 205
Pasadena, CA 91101-1755
Phone
(626) 765-1753
NPI assigned
Sep 5, 2023
Last updated
Sep 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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

Authorized official

Name
Mr. John Kellum Lewis, LMFTNPI 1932304276
Title
President
Phone
(626) 765-1753

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X NU Primary

Addresses

Primary practice location

95 N Marengo Ave Ste 205
Pasadena, CA 91101-1755

Mailing address

44 Eastern Ave
Pasadena, CA 91107-4339
Phone (626) 765-1753

Other practice location 1

44 Eastern Ave
Pasadena, CA 91107-4339
Phone (626) 765-1753

Other names 1

  • Clarity & Growth Center for Psychotherapy Doing business as

National Provider Directory

National Provider Directory

Locations

95 N Marengo Ave
Ste 205
Pasadena, CA 91101
Phone (626) 585-8075

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1693872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693872000000",
    "number": "1275319311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 EASTERN AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911074339",
            "telephone_number": "626-765-1753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 N MARENGO AVE STE 205",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011755",
            "telephone_number": "626-765-1753"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44 Eastern Ave",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911074339",
            "country_code": "US",
            "telephone_number": "626-765-1753",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KELLUM LEWIS, MARRIAGE & FAMILY THERAPIST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-05",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "KELLUM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-765-1753",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clarity & Growth Center for Psychotherapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; 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.