Healthcare Provider Details

I. General information

NPI: 1922934843
Provider Name (Legal Business Name): TRISHA NEIMEYER LMFT135098
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 E DEL MAR BLVD STE 160
PASADENA CA
91105-2507
US

IV. Provider business mailing address

663 IMOGEN AVE
LOS ANGELES CA
90026-3567
US

V. Phone/Fax

Practice location:
  • Phone: 818-928-5539
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number135098
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: