Organization Active NPI

Movement Talk Therapy, Licensed Clinical Social Worker, Inc.

  • Mental Health Counselor
  • Azusa, CA
National Provider Identifier
1871163386
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MOVEMENT TALK THERAPY, LICENSED CLINICAL SOCIAL WORKER, INC.
Practice address
750 E 5TH St Unit 6
Azusa, CA 91702-3876
Phone
(415) 812-3240
NPI assigned
Jun 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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

Authorized official

Name
Denise Hope Padilla, LCSWNPI 1821247578
Title
President/ Mental Health Counselor
Phone
(415) 812-3240

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X

Addresses

Primary practice location

750 E 5TH St Unit 6
Azusa, CA 91702-3876

Mailing address

750 E 5TH St Unit 6
Azusa, CA 91702-3876
Phone (415) 812-3240

National Provider Directory

National Provider Directory

Locations

3848 E Colorado Blvd
Ste 26
Pasadena, CA 91107

Practitioners & affiliated clinicians

Practitioners 1

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": "1624838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626652800000",
    "number": "1871163386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 E 5TH ST UNIT 6",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "917023876",
            "telephone_number": "415-812-3240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 E 5TH ST UNIT 6",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "917023876",
            "telephone_number": "415-812-3240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOVEMENT TALK THERAPY, LICENSED CLINICAL SOCIAL WORKER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-28",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-07",
        "status": "A",
        "authorized_official_last_name": "PADILLA",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "HOPE",
        "authorized_official_title_or_position": "PRESIDENT/ MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "415-812-3240",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Azusa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; 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.