Individual provider Active NPI

La Cena Lachelle Jones, LMFT 99436

  • Marriage & Family Therapist
  • San Bernardino, CA
National Provider Identifier
1053601872
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT 99436 Issued in CA
Practice address
325 W Hospitality LN Ste 110
San Bernardino, CA 92408-3210
Phone
(951) 708-1049
Fax
(951) 823-5507
NPI assigned
Apr 13, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Marriage & Family Therapist 106H00000X 203761 TX
Marriage & Family Therapist 106H00000X LMFT 99436 CA Primary

Addresses

Primary practice location

325 W Hospitality LN Ste 110
San Bernardino, CA 92408-3210

Mailing address

325 W Hospitality LN Ste 110
San Bernardino, CA 92408-3210
Phone (951) 708-1049

Other practice location 1

2655 Villa Creek Dr Ste 201
Farmers Branch, TX 75234-7324
Phone (909) 332-7707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240607002259 TX Practitioner - Marriage and Family Therapist 3971045758 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMFT 99436CAMDMarriage & Family Therapist
203761TXMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jacob Joseph and Jabez Family Counseling and Professional Services Gro Mental Health CurrentSince Apr 1, 2020 Accepting new patients
Jacob Joseph and Jabez Family Counseling and Professional Services Gro Mental Health CurrentSince Jun 17, 2017 Accepting new patients

Locations

6845 Indiana Ave
Ste 201
Riverside, CA 92506

275 W Hospitality Ln
Ste 325
San Bernardino, CA 92408
Phone (909) 313-5225

325 W Hospitality Ln
Ste 110
San Bernardino, CA 92408
Phone (909) 332-7707

2655 Villa Creek Dr
Ste 201
Farmers Branch, TX 75234
Phone (909) 332-7707

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1302652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1053601872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 W HOSPITALITY LN STE 110",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083210",
            "telephone_number": "951-708-1049",
            "fax_number": "951-823-5507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 W HOSPITALITY LN STE 110",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083210",
            "telephone_number": "951-708-1049",
            "fax_number": "951-823-5507"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2655 Villa Creek Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Farmers Branch",
            "state": "TX",
            "postal_code": "752347324",
            "country_code": "US",
            "telephone_number": "909-332-7707",
            "fax_number": "951-823-5507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "LA CENA",
        "middle_name": "LACHELLE",
        "name_prefix": "Dr.",
        "credential": "LMFT 99436",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-13",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "203761",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT 99436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

Verify at the official NPI Registry.