Organization Active NPI

Beverly Hanes, LMFT Apc

  • Marriage & Family Therapist
  • Colton, CA
National Provider Identifier
1073631545
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
CORP 2879938 Issued in CA
Legal business name
BEVERLY HANES, LMFT APC
Practice address
1420 E Cooley Dr
Suite 200 S
Colton, CA 92324-3981
Phone
(951) 334-3177
Fax
(909) 424-0222
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Beverly Hanes, M.A., LMFTNPI 1548388143
Title
Marriage & Family Therapist-Ceo
Phone
(951) 334-3177

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 CORP 2879938 CA Primary

Addresses

Primary practice location

1420 E Cooley Dr
Suite 200 S
Colton, CA 92324-3981

Mailing address

PO Box 52974
Riverside, CA 92517-3974
Phone (951) 334-3177

Other identifiers 1

IdentifierTypeStateIssuer
33BGJ3OtherCARIVERSIDE CO MEDICAL

National Provider Directory

National Provider Directory

Locations

1420 E Cooley Dr
Ste 200S
Colton, CA 92324
Phone (909) 424-0209

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": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073631545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52974",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925173974",
            "telephone_number": "951-334-3177",
            "fax_number": "909-424-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 E COOLEY DR",
            "address_2": "SUITE 200 S",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923243981",
            "telephone_number": "951-334-3177",
            "fax_number": "909-424-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY HANES, LMFT APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HANES",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_title_or_position": "MARRIAGE & FAMILY THERAPIST-CEO",
        "authorized_official_telephone_number": "951-334-3177",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.A., LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "CORP 2879938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RIVERSIDE CO MEDICAL",
            "identifier": "33BGJ3",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.