Petrichor Healing Family Therapy, Inc.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

PETRICHOR HEALING FAMILY THERAPY, INC.

Practice address

10650 Reagan St Unit 648
Los Alamitos, CA 90720-8834

Phone

(562) 535-3102

NPI assigned

Sep 16, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Andrea A Jones, LMFTNPI 1962893016

Title

Ceo

Phone

(562) 535-3102

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andrea Jones, MFT

  • Marriage & Family Therapist
  • Long Beach, CA
  • NPI 1962893016
  NPD Authorized official

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

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726444800000",
    "number": "1629805676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10650 REAGAN ST UNIT 648",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907208834",
            "telephone_number": "562-535-3102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10650 REAGAN ST UNIT 648",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907208834",
            "telephone_number": "562-535-3102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETRICHOR HEALING FAMILY THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-16",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-535-3102",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Pesceone-Brborich, MFT
• Peter Ly MD Medical Corporation
• Claire Peters
• Christi Ann Peterson, D.M.D.
• Tyianna Marie Petithomme
• Andrew Pham, DDS
• Kaylyn Bich Hong Pham, PHARMD
• Lee Duong Pham, DDS, MD, MS
• Thanh T Pham, FNP-C
• Tina Thi Pham, PTA

• Marriage & Family Therapist in Los Alamitos, CA
• Providers in Los Alamitos, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.