Active NPI
Renee Marriott
- Marriage & Family Therapist
- Fontana, CA
National Provider Identifier
1003244682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 15217 San Bernardino Ave
Fontana, CA 92335 - Phone
- (909) 347-1671
- NPI assigned
- Oct 17, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LMFT87249 | CA | |
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
15217 San Bernardino Ave
Fontana, CA 92335
Mailing address
15217 San Bernardino Ave
Fontana, CA 92335-5327
Phone (909) 347-1671
Other practice location 1
21101 Dale Evans Parkway
Apple Valley, CA 92307
Phone (760) 961-6784
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Rmarriott@dbh.sbcounty.gov | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT87249 | CA | MD | Marriage & Family Therapist |
Interoperability endpoints
- rmarriott@dbh.sbcounty.gov
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565568000000",
"number": "1003244682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15217 SAN BERNARDINO AVE",
"city": "FONTANA",
"state": "CA",
"postal_code": "923355327",
"telephone_number": "909-347-1671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15217 SAN BERNARDINO AVE",
"city": "FONTANA",
"state": "CA",
"postal_code": "92335",
"telephone_number": "909-347-1671"
}
],
"practiceLocations": [
{
"address_1": "21101 Dale Evans Parkway",
"address_purpose": "LOCATION",
"city": "Apple Valley",
"state": "CA",
"postal_code": "92307",
"country_code": "US",
"telephone_number": "760-961-6784",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARRIOTT",
"first_name": "RENEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-17",
"last_updated": "2019-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT87249",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Rmarriott@dbh.sbcounty.gov",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "15217 San Bernardino Ave",
"city": "Fontana",
"state": "CA",
"country_code": "US",
"postal_code": "92335",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Fontana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.