Individual provider Active NPI

Lori Lynn Palombi, M.A. AMFT

  • Marriage & Family Therapist
  • Los Alamitos, CA
National Provider Identifier
1710348172
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
145185 Issued in CA
Practice address
4281 Katella Ave Ste 117
Los Alamitos, CA 90720-3590
Phone
(562) 596-0050
Fax
(562) 596-0058
NPI assigned
Mar 14, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 145185 CA Primary

Addresses

Primary practice location

4281 Katella Ave Ste 117
Los Alamitos, CA 90720-3590

Mailing address

4281 Katella Ave Ste 117
Los Alamitos, CA 90720-3590
Phone (562) 596-0050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
145185CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Twin Town Corporation CurrentSince May 26, 2024 Accepting new patients
Twin Town Corporation Past Accepting new patients

Locations

4281 Katella Ave
Ste 117
Los Alamitos, CA 90720
Phone (562) 596-0050

Organizations & group practices 2

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": "1457913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1710348172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4281 KATELLA AVE STE 117",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203590",
            "telephone_number": "562-596-0050",
            "fax_number": "562-596-0058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4281 KATELLA AVE STE 117",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203590",
            "telephone_number": "562-596-0050",
            "fax_number": "562-596-0058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALOMBI",
        "first_name": "LORI",
        "middle_name": "LYNN",
        "credential": "M.A. AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-14",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "145185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamitos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.