Organization Active NPI

Color Me Well Marriage and Family Therapy

  • Marriage & Family Therapist
  • Pasadena, CA
National Provider Identifier
1811620412
Registry record updated Jul 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
COLOR ME WELL MARRIAGE AND FAMILY THERAPY
Practice address
350 S Lake Ave Ste 282
Pasadena, CA 91101-3562
Phone
(213) 300-3997
NPI assigned
Jul 1, 2022
Last updated
Jul 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2022

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

Authorized official

Name
Tiffany O'BannonNPI 1528458817
Title
Owner
Phone
(213) 300-3997

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 NU Primary

Addresses

Primary practice location

350 S Lake Ave Ste 282
Pasadena, CA 91101-3562

Mailing address

4555 Fulton Ave Apt 214
Sherman Oaks, CA 91423-3202
Phone (213) 300-3997

National Provider Directory

National Provider Directory

Locations

350 S Lake Ave
Ste 282
Pasadena, CA 91101
Phone (213) 300-3997

Practitioners & affiliated clinicians

Practitioners 3

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": "1656633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656633600000",
    "number": "1811620412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4555 FULTON AVE APT 214",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914233202",
            "telephone_number": "213-300-3997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 S LAKE AVE STE 282",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911013562",
            "telephone_number": "213-300-3997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLOR ME WELL MARRIAGE AND FAMILY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-01",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A",
        "authorized_official_last_name": "O'BANNON",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-300-3997"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; 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.