Individual provider Active NPI

Natasha Morisawa, M.A., MFT

  • Marriage & Family Therapist
  • Monrovia, CA
National Provider Identifier
1487919205
Registry record updated Jul 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
IMF61248 Issued in CA
Practice address
248 E Foothill Blvd
Suite 200
Monrovia, CA 91016-5522
Phone
(626) 321-5869
NPI assigned
Jul 9, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X IMF61248 CA Primary

Addresses

Primary practice location

248 E Foothill Blvd
Suite 200
Monrovia, CA 91016-5522

Mailing address

248 E Foothill Blvd
Suite 200
Monrovia, CA 91016-5522
Phone (626) 321-5869

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
IMF61248CAMDMarriage & Family Therapist
52763CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Natasha Moriawa Marriage and Family Therapy, Inc Current Accepting new patients
The Place Within-Southern California Current Accepting new patients

Locations

211 S Primrose Ave
Monrovia, CA 91016
Phone (626) 359-1135

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341792000000",
    "number": "1487919205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 E FOOTHILL BLVD",
            "address_2": "SUITE 200",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910165522",
            "telephone_number": "626-321-5869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 E FOOTHILL BLVD",
            "address_2": "SUITE 200",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910165522",
            "telephone_number": "626-321-5869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORISAWA",
        "first_name": "NATASHA",
        "name_prefix": "Ms.",
        "credential": "M.A., MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-09",
        "last_updated": "2012-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF61248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monrovia, CA

Sources for this page

Verify at the official NPI Registry.