Active NPI
Jonathan Flannes, LMFT #136101
- Marriage & Family Therapist
- Pasadena, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 136101
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AMFT108493 | CA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Behavioral Care of California, P.C. | Current | Accepting new patients | |
| Optum Behavioral Care of California, P.C. | Current | 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.
-
- Clinical Psychologist
- Rancho Cucamonga, CA
- NPI 1417718297
-
- Clinical Social Worker
- Costa Mesa, CA
- NPI 1447137740
-
- Community/Behavioral Health Agency
- San Francisco, CA
- NPI 1821280132
-
- Community/Behavioral Health Agency
- San Francisco, CA
- NPI 1861681868
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.