Healthcare Provider Details

I. General information

NPI: 1750859674
Provider Name (Legal Business Name): JAKE TERESA FERRANTE LMFT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/08/2018
Last Update Date: 10/20/2025
Certification Date: 10/20/2025
Deactivation Date: 08/14/2019
Reactivation Date: 04/29/2020

III. Provider practice location address

675 S ARROYO PKWY STE 420
PASADENA CA
91105-3215
US

IV. Provider business mailing address

175 VALLEY ST APT 4100
PASADENA CA
91105-4533
US

V. Phone/Fax

Practice location:
  • Phone: 925-282-1778
  • Fax:
Mailing address:
  • Phone: 626-375-1729
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number128809
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC-17558
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: