Pak Nin Poon

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

105218 Issued in CA

Practice address

1961 W Huntington Dr Ste 200
Alhambra, CA 91801-1222

Phone

(626) 693-9661

NPI assigned

Apr 16, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Path to Growth Marriage and Family Counseling PLLC

  • Adult Mental Health Clinic/Center
  • Austin, TX
  • NPI 1043027907
  NPD (past) Authorized official
• Path to Growth Counseling Inc.

  • Mental Health Counselor
  • South Pasadena, CA
  • NPI 1528556651
  NPD

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

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1780071894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1961 W HUNTINGTON DR STE 200",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918011222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1961 W HUNTINGTON DR STE 200",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918011222",
            "telephone_number": "626-693-9661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1015 Fremont Ave",
            "address_purpose": "LOCATION",
            "city": "South Pasadena",
            "state": "CA",
            "postal_code": "910303224",
            "country_code": "US",
            "telephone_number": "626-592-2496",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9353 Valley Blvd",
            "address_purpose": "LOCATION",
            "city": "Rosemead",
            "state": "CA",
            "postal_code": "917701934",
            "country_code": "US",
            "telephone_number": "626-287-2988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POON",
        "first_name": "PAK",
        "middle_name": "NIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-16",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LMFT1058218",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "IMF85521",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "4401-R",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "204245",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "105218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "7708",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "7184",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "7368",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "7667",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chloe Renee Plazo
• Pocketrn Care Group Inc
• Ronald Polanco
• Kasey Alexandra Ponce
• Sabrina Monic Ponta
• Edna Catalina Portillo de la Cruz, RD
• David Alexander Portillo-Reyes
• Sandra Libby Portillo
• Sergey Potapov
• Diana Potterveld, PA-C

• Marriage & Family Therapist in Alhambra, CA
• Providers in Alhambra, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; 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.