Healthcare Provider Details

I. General information

NPI: 1538702899
Provider Name (Legal Business Name): JADA MAGALI THOMPSON LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/18/2019
Last Update Date: 06/03/2025
Certification Date: 06/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 E FOOTHILLL BLVD SUITE 300
PASADENA CA
91107
US

IV. Provider business mailing address

2500 E FOOTHILLL BLVD SUITE 300
PASADENA CA
91107
US

V. Phone/Fax

Practice location:
  • Phone: 626-993-3000
  • Fax:
Mailing address:
  • Phone: 626-993-3000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number155449
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: