Organization Active NPI

Inner Stride Individual and Family Therapy Professional Corporation

  • Marriage & Family Therapist
  • Fountain Valley, CA
National Provider Identifier
1336944412
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
INNER STRIDE INDIVIDUAL AND FAMILY THERAPY PROFESSIONAL CORPORATION
Practice address
17155 Newhope St Ste F
Fountain Valley, CA 92708-4232
Phone
(626) 410-0682
NPI assigned
Feb 13, 2025
Last updated
Feb 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Authorized official

Name
Yani Chu, LMFTNPI 1629634175
Title
Owner
Phone
(626) 410-0682

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 Primary

Addresses

Primary practice location

17155 Newhope St Ste F
Fountain Valley, CA 92708-4232

Mailing address

PO Box 895
Riverside, CA 92502-0895
Phone (909) 509-1177

National Provider Directory

National Provider Directory

Locations

17155 Newhope St
Ste F
Fountain Valley, CA 92708
Phone (626) 410-0682

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": "1739404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740096000000",
    "number": "1336944412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 895",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925020895",
            "telephone_number": "909-509-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17155 NEWHOPE ST STE F",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084232",
            "telephone_number": "626-410-0682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER STRIDE INDIVIDUAL AND FAMILY THERAPY PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-13",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A",
        "authorized_official_last_name": "CHU",
        "authorized_official_first_name": "YANI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-410-0682",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.