Organization Active NPI

Koi Marriage and Family Therapy

  • Mental Health Counselor
  • West Covina, CA
National Provider Identifier
1659119477
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
KOI MARRIAGE AND FAMILY THERAPY
Practice address
640 S Sunset Ave Ste 105
West Covina, CA 91790-2808
Phone
(626) 665-6653
NPI assigned
Jul 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Authorized official

Name
Monica Michelle TiznadoNPI 1497895197
Title
LMFT
Phone
(626) 665-6653

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

640 S Sunset Ave Ste 105
West Covina, CA 91790-2808

Mailing address

640 S Sunset Ave Ste 105
West Covina, CA 91790-2808
Phone (626) 665-6653

National Provider Directory

National Provider Directory

Locations

640 S Sunset Ave
Ste 105
West Covina, CA 91790
Phone (626) 665-6653

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1721088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721088000000",
    "number": "1659119477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 S SUNSET AVE STE 105",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917902808",
            "telephone_number": "626-665-6653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 S SUNSET AVE STE 105",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917902808",
            "telephone_number": "626-665-6653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOI MARRIAGE AND FAMILY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-16",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A",
        "authorized_official_last_name": "TIZNADO",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "LMFT",
        "authorized_official_telephone_number": "626-665-6653"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

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