NPIMap

Organization Active NPI

Nicole Serrano Licensed Marriage Family Therapist Inc

  • Marriage & Family Therapist
  • Rancho Cucamonga, CA
National Provider Identifier
1033711106
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
NICOLE SERRANO LICENSED MARRIAGE FAMILY THERAPIST INC
Practice address
10601 Civic Center Dr Ste 120C
Rancho Cucamonga, CA 91730-3878
Phone
(909) 300-5746
NPI assigned
Nov 12, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nicole Serrano, LMFTNPI 1083046460
Title
Owner/ President
Phone
(909) 300-5746

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

10601 Civic Center Dr Ste 120C
Rancho Cucamonga, CA 91730-3878

Mailing address

10601 Civic Center Dr Ste 120C
Rancho Cucamonga, CA 91730-3878
Phone (909) 300-5746

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.nscounseling.org Direct

National Provider Directory

National Provider Directory

Locations

10601 Civic Center Dr
Ste 120C
Rancho Cucamonga, CA 91730
Phone (909) 300-5746

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1605139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605139200000",
    "number": "1033711106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10601 CIVIC CENTER DR STE 120C",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303878",
            "telephone_number": "909-300-5746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10601 CIVIC CENTER DR STE 120C",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303878",
            "telephone_number": "909-300-5746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE SERRANO LICENSED MARRIAGE FAMILY THERAPIST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-12",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A",
        "authorized_official_last_name": "SERRANO",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER/ PRESIDENT",
        "authorized_official_telephone_number": "909-300-5746",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.nscounseling.org",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "direct message",
            "address_1": "10601 Civic Center Dr Ste 120C",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917303878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.