Organization Active NPI

Wellness Company a Ca Family Therapist Professional Corporation

  • Marriage & Family Therapist
  • Gardena, CA
National Provider Identifier
1992487243
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
WELLNESS COMPANY A CA FAMILY THERAPIST PROFESSIONAL CORPORATION
Practice address
1212 W Gardena Blvd Ste B
Gardena, CA 90247-4896
Phone
(209) 361-4281
NPI assigned
Aug 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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

Authorized official

Name
Ms. Anika J. Grant, LMFTNPI 1649697137
Title
Ceo, Cfo, Secretary, and Director
Phone
(209) 361-4281

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 TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

1212 W Gardena Blvd Ste B
Gardena, CA 90247-4896

Mailing address

PO Box 690986
Stockton, CA 95269-0986
Phone (209) 361-4281

Other names 1

  • The Wellness Company Ca Doing business as

National Provider Directory

National Provider Directory

Locations

1212 W Gardena Blvd
Ste B
Gardena, CA 90247
Phone (209) 361-4281

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": "1691366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691366400000",
    "number": "1992487243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 690986",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952690986",
            "telephone_number": "209-361-4281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 W GARDENA BLVD STE B",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902474896",
            "telephone_number": "209-361-4281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS COMPANY A CA FAMILY THERAPIST PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-07",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-05",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "ANIKA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CEO, CFO, SECRETARY, AND DIRECTOR",
        "authorized_official_telephone_number": "209-361-4281",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Wellness Company Ca",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gardena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; 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.