Individual provider Active NPI

Paul Allen Jr., LMFT

  • Marriage & Family Therapist
  • Ontario, CA
National Provider Identifier
1760847610
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
121687 Issued in CA
Practice address
3350 Shelby St Ste 200
Ontario, CA 91764-5556
Phone
(909) 978-7301
NPI assigned
Dec 19, 2015
Last updated
Oct 31, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 121687 CA Primary
Case Manager/Care Coordinator 171M00000X

Addresses

Primary practice location

3350 Shelby St Ste 200
Ontario, CA 91764-5556

Mailing address

3350 Shelby St Ste 200
Ontario, CA 91764-5556
Phone (909) 978-7301

Other practice location 1

3610 Central Ave Ste 400
Riverside, CA 92506-5907
Phone (909) 978-7301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250128001540 CA Practitioner - Marriage and Family Therapist 8224567821

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hue of Mental Health Family Therapy Incorporation Marriage & Family Therapist CurrentSince Dec 23, 2024 Accepting new patients

Locations

3350 Shelby St
Ste 200
Ontario, CA 91764
Phone (818) 208-0164

337 N Vineyard Ave
Ste 400
Ontario, CA 91764
Phone (909) 544-9322

3610 Central Ave
Ste 400
Riverside, CA 92506
Phone (909) 300-5754

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1450483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1760847610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 SHELBY ST STE 200",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917645556",
            "telephone_number": "909-978-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 SHELBY ST STE 200",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917645556",
            "telephone_number": "909-978-7301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3610 Central Ave Ste 400",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925065907",
            "country_code": "US",
            "telephone_number": "909-978-7301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "PAUL",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-19",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "121687",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, CA

Sources for this page

Verify at the official NPI Registry.