Active NPI
Amber Nicolle Cousins
- Marriage & Family Therapist
- San Bernardino, CA
National Provider Identifier
1033436514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 2545 Mimosa Dr
San Bernardino, CA 92407-2239 - Phone
- (909) 991-6565
- NPI assigned
- Apr 23, 2010
- Last updated
- Apr 23, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | NU | Primary |
Addresses
Primary practice location
2545 Mimosa Dr
San Bernardino, CA 92407-2239
Mailing address
2545 Mimosa Dr
San Bernardino, CA 92407-2239
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271980800000",
"number": "1033436514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2545 MIMOSA DR",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924072239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2545 MIMOSA DR",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924072239",
"telephone_number": "909-991-6565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COUSINS",
"first_name": "AMBER",
"middle_name": "NICOLLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-23",
"last_updated": "2010-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Bernardino, CA
- County of San Bernardino (Department of Behavioral Health)
- County of San Bernardino (Eating Disorder Collaborative (EDC))
- County of San Bernardino (Homeless Outreach and Support Team)
- County of San Bernardino (Child & Youth Connections - Children's Assessment Center)
- Janette Ambriz Court
- Veronica Covarrubias-Palacios, ASW
- Paula Covarrubias
- Shaunice Renee Cox
- Cristina Nadine Coyle
- Christina Lynn Crabtree, N/A
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.