Organization Active NPI

Co-Creative Marriage and Family Counseling Inc

  • Marriage & Family Therapist
  • Diamond Bar, CA
National Provider Identifier
1750991493
Registry record updated Aug 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
CO-CREATIVE MARRIAGE AND FAMILY COUNSELING INC
Practice address
20955 Pathfinder Rd
Diamond Bar, CA 91765-4028
Phone
(626) 470-7276
NPI assigned
Aug 7, 2020
Last updated
Aug 7, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2020

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

Authorized official

Name
Antonia AllisonNPI 1780003418
Title
Owner
Phone
(626) 470-7276

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
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

20955 Pathfinder Rd
Diamond Bar, CA 91765-4028

Mailing address

20955 Pathfinder Rd
Diamond Bar, CA 91765-4028
Phone (626) 470-7276

National Provider Directory

National Provider Directory

Locations

20955 Pathfinder Rd
Diamond Bar, CA 91765
Phone (626) 470-7276

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1596758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596758400000",
    "number": "1750991493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20955 PATHFINDER RD",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917654028",
            "telephone_number": "626-470-7276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20955 PATHFINDER RD",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917654028",
            "telephone_number": "626-470-7276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CO-CREATIVE MARRIAGE AND FAMILY COUNSELING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-07",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A",
        "authorized_official_last_name": "ALLISON",
        "authorized_official_first_name": "ANTONIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-470-7276"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Diamond Bar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2020; 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.