Individual provider Active NPI

Jonathan Flannes, LMFT #136101

  • Marriage & Family Therapist
  • Pasadena, CA
National Provider Identifier
1689071300
Registry record updated Feb 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
136101 Issued in CA
Practice address
166 Mar Vista
Pasadena, CA 91126-3428
Phone
(510) 325-8045
NPI assigned
Nov 24, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X AMFT108493 CA
Marriage & Family Therapist 106H00000X
Counselor 101Y00000X
Marriage & Family Therapist 106H00000X 136101 CA Primary

Addresses

Primary practice location

166 Mar Vista
Pasadena, CA 91126-3428

Mailing address

166 N Mar Vista Ave
Pasadena, CA 91106-1445
Phone (510) 325-8045

Other practice location 1

750 33rd Ave
San Francisco, CA 94121-3428
Phone (415) 972-1200

Other practice location 2

823 Euclid Ave
San Francisco, CA 94118-2510
Phone (415) 972-1200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AMFT108493CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of California, P.C. CurrentSince Aug 29, 2024 Accepting new patients
Optum Behavioral Care of California, P.C. CurrentSince Aug 29, 2024 Accepting new patients
Catholic Charities Cyo of the Archdiocese of San Francisco Past Accepting new patients
Catholic Charities Cyo of the Archdiocese of San Francisco Past Accepting new patients

Locations

2555 E Colorado Blvd
Pasadena, CA 91107
Phone (909) 989-4055

8300 Utica Ave
Ste 245
Rancho Cucamonga, CA 91730
Phone (909) 989-4055

Organizations & group practices 4

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": "1416787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708214400000",
    "number": "1689071300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 N MAR VISTA AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911061445",
            "telephone_number": "510-325-8045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 MAR VISTA",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911263428",
            "telephone_number": "510-325-8045"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "750 33rd Ave",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941213428",
            "country_code": "US",
            "telephone_number": "415-972-1200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "823 Euclid Ave",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941182510",
            "country_code": "US",
            "telephone_number": "415-972-1200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLANNES",
        "first_name": "JONATHAN",
        "credential": "LMFT #136101",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-24",
        "last_updated": "2024-02-18",
        "certification_date": "2024-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "AMFT108493",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "136101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.