Individual provider Active NPI

Qianru Zhao

  • Marriage & Family Therapist
  • Pasadena, CA
National Provider Identifier
1609289537
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT120031 Issued in CA
Practice address
3579 E Foothill Blvd # 124
Pasadena, CA 91107-3119
Phone
(323) 801-6868
NPI assigned
Jun 9, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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 LMFT120031 CA Primary

Addresses

Primary practice location

3579 E Foothill Blvd # 124
Pasadena, CA 91107-3119

Mailing address

3579 E Foothill Blvd # 124
Pasadena, CA 91107-3119
Phone (323) 801-6868

Other practice location 1

680 E Colorado Blvd Ste 180&2nd
Pasadena, CA 91101-6143
Phone (646) 453-6777

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

LicenseStateTypeSpecialty
LMFT120031CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Inner Harmony Nursing, Inc. CurrentSince Oct 20, 2024 Accepting new patients

Locations

680 E Colorado Blvd
Ste 1802ND
Pasadena, CA 91101
Phone (925) 966-3132

Organizations & group practices 1

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": "1402272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1609289537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3579 E FOOTHILL BLVD # 124",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911073119",
            "telephone_number": "323-801-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3579 E FOOTHILL BLVD # 124",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911073119",
            "telephone_number": "323-801-6868"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "680 E Colorado Blvd Ste 180&2nd",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911016143",
            "country_code": "US",
            "telephone_number": "646-453-6777",
            "fax_number": "212-337-9841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZHAO",
        "first_name": "QIANRU",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-09",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT120031",
            "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 Jun 4, 2024; 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.