Organization Active NPI

Centennial Harvest Wellness Institute

  • Mental Health Counselor
  • Pasadena, CA
National Provider Identifier
1699400788
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CENTENNIAL HARVEST WELLNESS INSTITUTE
Practice address
2330 E del Mar Blvd
Pasadena, CA 91107
Phone
(323) 917-1195
NPI assigned
Jul 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. Leeann Marie Nabors
Title
President-Ceo
Phone
(323) 917-1195

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

2330 E del Mar Blvd
Pasadena, CA 91107

Mailing address

3355 N White Ave Unit 8287
La Verne, CA 91750-6207
Phone (323) 917-1195

Other identifiers 1

IdentifierTypeStateIssuer
1831383272OtherCALICENSED MARRIAGE, FAMILY THERAPIST

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lnabors@chwi-health.org Direct

National Provider Directory

National Provider Directory

Locations

3355 N White Ave
Unit 8287
La Verne, CA 91750

NPI Registry JSON

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

{
    "created_epoch": "1658361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1699400788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 N WHITE AVE UNIT 8287",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917506207",
            "telephone_number": "323-917-1195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 E DEL MAR BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "91107",
            "telephone_number": "323-917-1195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTENNIAL HARVEST WELLNESS INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-21",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-06",
        "status": "A",
        "authorized_official_last_name": "NABORS",
        "authorized_official_first_name": "LEEANN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT-CEO",
        "authorized_official_telephone_number": "323-917-1195",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED MARRIAGE, FAMILY THERAPIST",
            "identifier": "1831383272",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lnabors@chwi-health.org",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3355 N White Ave Unit 8287",
            "city": "LA Verne",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917506207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jul 21, 2022; 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.