Individual provider Active NPI

Yesenia Montano

  • Marriage & Family Therapist
  • Sierra Madre, CA
National Provider Identifier
1619524154
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
140784 Issued in CA
Practice address
80 W Sierra Madre Blvd # 523
Sierra Madre, CA 91024-2434
Phone
(626) 822-9003
NPI assigned
Aug 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Marriage & Family Therapist 106H00000X 140784 CA Primary
Marriage & Family Therapist 106H00000X 120834 CA

Addresses

Primary practice location

80 W Sierra Madre Blvd # 523
Sierra Madre, CA 91024-2434

Mailing address

80 W Sierra Madre Blvd # 523
Sierra Madre, CA 91024-2434
Phone (626) 822-9003

Other practice location 1

2121 W Temple St
Los Angeles, CA 90026-4915
Phone (213) 385-5100

Other practice location 2

1200 Wilshire Blvd Ste 400
Los Angeles, CA 90017-1919
Phone (213) 481-7464

Other practice location 3

350 S Lake Ave
Pasadena, CA 91101-3530
Phone (626) 630-9060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241206002911 CA Practitioner - Marriage and Family Therapist 0547796047 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Serene Pathways Family Counseling IncGroup PAC ID 0749721389, 13 clinicians

Practice addresses (Care Compare)

11800 Central Ave
Suite 225
Chino, CA 91710-7201
Phone (909) 591-5085

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
120834CAMDMarriage & Family Therapist
140784CAMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Personalized Treatment & Intervention Services CurrentSince Nov 1, 2024 Accepting new patients
Serene Pathways Family Counseling Inc Marriage & Family Therapist CurrentSince Nov 1, 2024 Accepting new patients

Locations

11800 Central Ave
Ste 225
Chino, CA 91710
Phone (909) 576-3889

201 Spear St
Ste 1100
San Francisco, CA 94105
Phone (415) 651-4333

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": "1566259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1619524154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 W SIERRA MADRE BLVD # 523",
            "city": "SIERRA MADRE",
            "state": "CA",
            "postal_code": "910242434",
            "telephone_number": "626-822-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 W SIERRA MADRE BLVD # 523",
            "city": "SIERRA MADRE",
            "state": "CA",
            "postal_code": "910242434",
            "telephone_number": "626-822-9003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2121 W Temple St",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900264915",
            "country_code": "US",
            "telephone_number": "213-385-5100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 Wilshire Blvd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900171919",
            "country_code": "US",
            "telephone_number": "213-481-7464",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "350 S Lake Ave",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911013530",
            "country_code": "US",
            "telephone_number": "626-630-9060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTANO",
        "first_name": "YESENIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-20",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "140784",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "120834",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sierra Madre, CA

Sources for this page

Verify at the official NPI Registry.