Active NPI
Raising Consciousness Family Therapy Professional Corporation
- Marriage & Family Therapist
- Simi Valley, CA
National Provider Identifier
1871400804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Legal business name
- RAISING CONSCIOUSNESS FAMILY THERAPY PROFESSIONAL CORPORATION
- Practice address
- 6363 Alta Vista Ridge Rd
Simi Valley, CA 93063-4745 - Phone
- (805) 791-4428
- NPI assigned
- Aug 25, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Krissella Lee Glennonboatright, LMFT #162992
- Title
- Ceo
- Phone
- (805) 791-4428
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
6363 Alta Vista Ridge Rd
Simi Valley, CA 93063-4745
Mailing address
6363 Alta Vista Ridge Rd
Simi Valley, CA 93063-4745
Phone (805) 791-4428
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787616000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787616000000",
"number": "1871400804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6363 ALTA VISTA RIDGE RD",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930634745",
"telephone_number": "805-791-4428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6363 ALTA VISTA RIDGE RD",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930634745",
"telephone_number": "805-791-4428"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAISING CONSCIOUSNESS FAMILY THERAPY PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-25",
"last_updated": "2026-08-25",
"certification_date": "2026-08-25",
"status": "A",
"authorized_official_last_name": "GLENNONBOATRIGHT",
"authorized_official_first_name": "KRISSELLA",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "805-791-4428",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LMFT #162992"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Simi Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.