AUDREY MORENO MEDINA
NPI 1710613161
Marriage & Family Therapist in Pasadena, CA

Active since July 28, 2022
402 S MARENGO AVE, PASADENA, CA 91101(626) 788-2831 Get Directions Write a Review

NPPES record last updated: June 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 7, 2024, Jul 28, 2022 (2 updates tracked since 2022).

About Audrey Moreno Medina NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AUDREY MORENO MEDINA (NPI 1710613161) is an individual marriage & family therapist in Pasadena, California, licensed in California (163590) and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1710613161
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameAUDREY MORENO MEDINA
Location Address402 S MARENGO AVEPasadena, CA 91101-3113
Mailing Address402 S Marengo AvePasadena, CA 91101-3113 · (626) 788-2831
Sole ProprietorYes
Enumeration DateJuly 28, 2022
Last NPPES UpdateJune 14, 20262 updates tracked since enumeration
NPPES CertifiedJune 14, 2026
NPI 1710613161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in CA · 163590
Definition
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.
402 S MARENGO AVE, Pasadena, CA 91101

Other Identifiers 1

Other1952562910CA · Psychotherapy

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Marriage & Family Therapist
402 S MARENGO AVE
PASADENA, CA 91101
Social Worker (Clinical)
402 S MARENGO AVE
PASADENA, CA 91101
Counselor (Mental Health)
402 S MARENGO AVE
PASADENA, CA 91101
Marriage & Family Therapist
402 S MARENGO AVE
PASADENA, CA 91101
Social Worker (Clinical)
402 S MARENGO AVE
PASADENA, CA 91101
Marriage & Family Therapist
402 S MARENGO AVE
PASADENA, CA 91101
Counselor (Mental Health)
402 S MARENGO AVE
PASADENA, CA 91101
Marriage & Family Therapist
402 S MARENGO AVE
PASADENA, CA 91101

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Audrey Moreno Medina's NPI number?

The NPI number for Audrey Moreno Medina is 1710613161. It was assigned to this individual provider in the NPPES registry on July 28, 2022.

Where is Audrey Moreno Medina located?

Audrey Moreno Medina practices at 402 S Marengo Ave, Pasadena, CA 91101. The listed phone number is (626) 788-2831.

What is Audrey Moreno Medina's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Audrey Moreno Medina was last updated on June 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 51 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.