Paving Forward Family Therapy Inc.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

PAVING FORWARD FAMILY THERAPY INC.

Doing business as

Paving Forward

Practice address

333 City Blvd W FL 17
Orange, CA 92868-5905

Phone

(714) 331-3334

NPI assigned

Dec 2, 2024

Last updated

Dec 2, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Dania Lizalde, LMFTNPI 1134544182

Title

President

Phone

(714) 383-3126

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Paving Forward Doing business as

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.

• Dania Lizalde, LMFT

  • Marriage & Family Therapist
  • Orange, CA
  • NPI 1134544182
  NPD Authorized official

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

{
    "created_epoch": "1733097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733097600000",
    "number": "1851117212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 CITY BLVD W FL 17",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928685905",
            "telephone_number": "714-331-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 CITY BLVD W FL 17",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928685905",
            "telephone_number": "714-331-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAVING FORWARD FAMILY THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-02",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-01",
        "status": "A",
        "authorized_official_last_name": "LIZALDE",
        "authorized_official_first_name": "DANIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-383-3126",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134544182",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paving Forward",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Marriage & Family Therapist in Orange, CA
• Providers in Orange, 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 Dec 2, 2024; 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.