Organization Active NPI

Lasting Impressions Center

  • Art Therapist
  • Baldwin Park, CA
National Provider Identifier
1477140192
Registry record updated Dec 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Art TherapistTaxonomy code 221700000X
Legal business name
LASTING IMPRESSIONS CENTER
Practice address
14305 Morgan St
Baldwin Park, CA 91706-3235
Phone
(818) 934-0846
NPI assigned
Dec 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2020

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

Authorized official

Name
Annalisa Rinetti
Title
Owner
Phone
(818) 934-0846

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Art TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 221700000X Primary
Dance TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225600000X
Music TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225A00000X

Addresses

Primary practice location

14305 Morgan St
Baldwin Park, CA 91706-3235

Mailing address

14305 Morgan St
Baldwin Park, CA 91706-3235

National Provider Directory

National Provider Directory

Locations

14305 Morgan St
Baldwin Park, CA 91706
Phone (626) 430-6197

NPI Registry JSON

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

{
    "created_epoch": "1609200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609200000000",
    "number": "1477140192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14305 MORGAN ST",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917063235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14305 MORGAN ST",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917063235",
            "telephone_number": "818-934-0846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASTING IMPRESSIONS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-29",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A",
        "authorized_official_last_name": "RINETTI",
        "authorized_official_first_name": "ANNALISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-934-0846"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Art Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dance Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225A00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Music Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baldwin Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; 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.