Organization Active NPI

Raising Consciousness Family Therapy Professional Corporation

  • Marriage & Family Therapist
  • Simi Valley, CA
National Provider Identifier
1871400804
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
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

Updated by the provider on Aug 25, 2026

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)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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.

Verify at the official NPI Registry.