Organization Active NPI

The Distinguished Doula LLC

  • Lactation Consultant (Non-RN)
  • Pasadena, CA
National Provider Identifier
1427929140
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
Legal business name
THE DISTINGUISHED DOULA LLC
Practice address
160 Corson St Apt 222
Pasadena, CA 91103-3860
Phone
(661) 367-1136
NPI assigned
Sep 16, 2025
Last updated
Sep 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Authorized official

Name
Clarissa Michael, CLC, PCD(DONA)NPI 1407556814
Title
Certified Lactation Counselor
Phone
(661) 367-1136

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
Lactation Consultant (Non-RN) 174N00000X NU Primary

Addresses

Primary practice location

160 Corson St Apt 222
Pasadena, CA 91103-3860

Mailing address

160 Corson St Apt 222
Pasadena, CA 91103-3860
Phone (661) 367-1136

National Provider Directory

National Provider Directory

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": "1757980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757980800000",
    "number": "1427929140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 CORSON ST APT 222",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911033860",
            "telephone_number": "661-367-1136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 CORSON ST APT 222",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911033860",
            "telephone_number": "661-367-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DISTINGUISHED DOULA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-16",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A",
        "authorized_official_last_name": "MICHAEL",
        "authorized_official_first_name": "CLARISSA",
        "authorized_official_title_or_position": "CERTIFIED LACTATION COUNSELOR",
        "authorized_official_telephone_number": "661-367-1136",
        "authorized_official_credential": "CLC, PCD(DONA)"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 16, 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.