Organization Active NPI

Revolution Psychotherapy, a Family and Marriage Therapy Corporation

  • Marriage & Family Therapist
  • Ojai, CA
National Provider Identifier
1811540909
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
REVOLUTION PSYCHOTHERAPY, A FAMILY AND MARRIAGE THERAPY CORPORATION
Practice address
305 E Matilija St Ste 201F
Ojai, CA 93023-2768
Phone
(805) 888-9254
NPI assigned
Jul 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Authorized official

Name
Mr. Micheal Frances Smith, CALIFORNIA LMFTNPI 1346513363
Title
President
Phone
(805) 888-9254

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

305 E Matilija St Ste 201F
Ojai, CA 93023-2768

Mailing address

901 Mercer Ave
Ojai, CA 93023-2927
Phone (805) 888-9254

Other identifiers 1

IdentifierTypeStateIssuer
1346513363OtherCANPPES

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240213002209 CA Part B Supplier - Clinic/Group Practice 3678916038 Receives reassigned benefits from 1 practitioner
Practice locations: Ojai, CA

National Provider Directory

National Provider Directory

Locations

305 E Matilija St
Ste 201F
Ojai, CA 93023
Phone (805) 697-5133

3319 Telegraph Rd
Ste 108
Ventura, CA 93003

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1563408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742515200000",
    "number": "1811540909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 MERCER AVE",
            "city": "OJAI",
            "state": "CA",
            "postal_code": "930232927",
            "telephone_number": "805-888-9254",
            "fax_number": "805-669-3525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 E MATILIJA ST STE 201F",
            "city": "OJAI",
            "state": "CA",
            "postal_code": "930232768",
            "telephone_number": "805-888-9254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVOLUTION PSYCHOTHERAPY, A FAMILY AND MARRIAGE THERAPY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-18",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MICHEAL",
        "authorized_official_middle_name": "FRANCES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-888-9254",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CALIFORNIA LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1346513363",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ojai, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.