REVOLUTION PSYCHOTHERAPY, A FAMILY AND MARRIAGE THERAPY CORPORATION (NPI# 1811540909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811540909 |
Entity Type | Organization |
Organization Name | REVOLUTION PSYCHOTHERAPY, A FAMILY AND MARRIAGE THERAPY CORPORATION |
Practice Address |
3319 Telegraph Rd Ste 108 Ventura CA 93003-3319 |
Mailing Address |
901 Mercer Ave Ojai CA 93023-2927 |
Practice Telephone | 8058889254 |
Practice Fax Number | 8056693525 |
Mailing Telephone | 8058889254 |
Mailing Fax Number | 8056693525 |
Enumeration Date | 2019-07-18 |
Last Update Date | 2019-07-18 |
Authorized Official Name | MR. MICHEAL FRANCES SMITH (PRESIDENT) |
Authorized Official Telephone | 8058889254 |
Authorized Official Credential | CALIFORNIA LMFT |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | NPPES | 1346513363 | 01 |
Street Address |
3319 TELEGRAPH RD STE 108 |
City | VENTURA |
State | CA |
Zip Code | 93003-3319 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124645924 | Community Memorial Health System | Pharmacy | 2790 Loma Vista Road, Ventura, CA 93003 | 2020-06-29 |
1730702952 | Sarah Manon Begert | Student in an Organized Health Care Education/Training Program | 300 Hillmont Ave., Bldg 340, Ste 201, Ventura, CA 93003 | 2020-05-21 |
1033763677 | Ashley Danielle Aguilar | Counselor | 5740 Ralston Suite 100, Ventura, CA 93003 | 2019-08-01 |
1730747239 | Azadeh Ellsworth | Nurse Practitioner | 1752 S Victoria Ave Ste 250, Ventura, CA 93003 | 2019-05-31 |
1992275556 | Melissa Marie Cole | Social Worker | 4949 Market St, Ventura, CA 93003 | 2018-11-27 |
1851868400 | Weldon Acupuncture Professional Corporation | Acupuncturist | 3737 Telegraph Road, Suite F, Ventura, CA 93003 | 2018-10-31 |
1952876468 | Isabella Florencia Gallegos | Specialist/Technologist | 1857 Knoll Dr., Ventura, CA 93003 | 2018-10-11 |
1437645421 | Jill Huang Wong | Psychologist | 3585 Maple St Ste 248, Ventura, CA 93003 | 2018-07-02 |
1346735156 | Lisa Ngoc Thi Nguyen | Student in an Organized Health Care Education/Training Program | 147 N. Brent Street, Ventura, CA 93003 | 2018-06-25 |
1457845331 | Khloe Frank | Student in an Organized Health Care Education/Training Program | 300 Hillmont Ave, Bldg 340, Suite 201, Ventura, CA 93003 | 2018-06-14 |
Find all providers in zip 93003 |
Taxonomy Code | 106H00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Marriage & Family Therapist |
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437771664 | Gloria Yruegas Gonzales | Marriage & Family Therapist | 2895 Loma Vista Rd Ste B, Ventura, CA 93003-1523 | 2020-05-11 |
1366063570 | Siobhan Mcdevitt | Marriage & Family Therapist | 73 N Palm St Ste M2, Ventura, CA 93001-2429 | 2020-04-28 |
1013547157 | Tracey St Johns | Marriage & Family Therapist | 260 Maple Ct Ste 228, Ventura, CA 93003-3516 | 2020-01-16 |
1366081986 | Jennifer Lynn Bartlett | Marriage & Family Therapist | 107 Figueroa St Ste 6, Ventura, CA 93001-2756 | 2019-12-30 |
1316584162 | Ria Redublo | Marriage & Family Therapist | 1010 Poli St Apt 3, Ventura, CA 93001-3081 | 2019-11-27 |
1447812920 | Vonda Lozano | Marriage & Family Therapist | 260 Maple Ct Ste 127, Ventura, CA 93003-3537 | 2019-07-03 |
1376103838 | Jacqueline Faith Moore | Marriage & Family Therapist | 5450 Ralston St Ste 101, Ventura, CA 93003-6042 | 2019-06-17 |
1942866132 | Catherine Marie Jappe | Marriage & Family Therapist | 573 Sheridan Way, Ventura, CA 93001-1852 | 2019-05-14 |
1205309465 | India Abigail Gonzalez | Marriage & Family Therapist | 8598 Eureka St, Ventura, CA 93004-2143 | 2019-01-09 |
1427521152 | Richard Durborow | Marriage & Family Therapist | 1168 Sandpoint Ln, Ventura, CA 93004-2880 | 2019-01-04 |
Find all providers in VENTURA |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.