Active NPI
Kathryn Farrelly, IMFT, RAS
- Marriage & Family Therapist
- Pasadena, CA
National Provider Identifier
1467557371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 59538
- Practice address
- 2555 E Colorado Blvd
Suite 100
Pasadena, CA 91107-6622 - Phone
- (626) 577-2261
- NPI assigned
- Sep 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | F0502111653 | CA | |
| Marriage & Family Therapist | 106H00000X | 59538 | CA | Primary |
Addresses
Primary practice location
2555 E Colorado Blvd
Suite 100
Pasadena, CA 91107-6622
Mailing address
1000 N Alameda St
Suite 390
Los Angeles, CA 90012-1804
Phone (213) 542-3846
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F0502111653 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| 59538 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283385600000",
"number": "1467557371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 N ALAMEDA ST",
"address_2": "SUITE 390",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900121804",
"telephone_number": "213-542-3846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2555 E COLORADO BLVD",
"address_2": "SUITE 100",
"city": "PASADENA",
"state": "CA",
"postal_code": "911076622",
"telephone_number": "626-577-2261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARRELLY",
"first_name": "KATHRYN",
"credential": "IMFT, RAS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-14",
"last_updated": "2010-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "F0502111653",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "59538",
"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 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.