Individual provider Active NPI

Kitcia Daena Jaramillo, M.S

  • Mental Health Counselor
  • Rancho Cucamonga, CA
National Provider Identifier
1073968160
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LMFT132028 Issued in CA
Practice address
7365 Carnelian St Ste 202
Rancho Cucamonga, CA 91730-1157
Phone
(951) 281-1557
NPI assigned
Apr 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X AMFT105215 CA
Mental Health Counselor 101YM0800X LMFT132028 CA Primary

Addresses

Primary practice location

7365 Carnelian St Ste 202
Rancho Cucamonga, CA 91730-1157

Mailing address

7365 Carnelian St Ste 202
Rancho Cucamonga, CA 91730-1157
Phone (951) 281-1557

Other practice location 1

3924 Riverview Dr
Riverside, CA 92509-6611
Phone (951) 360-4175

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20250516003263 CA Practitioner - Marriage and Family Therapist 8729506324 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Merrell Family Counseling IncGroup PAC ID 7810413739, 4 clinicians

Practice addresses (Care Compare)

7365 Carnelian St
Suite 202
Rancho Cucamonga, CA 91730-1157
Phone (909) 281-1557

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
AMFT105215CAMDMental Health Counselor
LMFT132028CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jurupa Unified School District CurrentSince Jan 1, 2022 Accepting new patients
Merrell Family Counseling, Inc. Marriage & Family Therapist CurrentSince Mar 9, 2025 Accepting new patients

Locations

7365 Carnelian St
Ste 202
Rancho Cucamonga, CA 91730
Phone (909) 281-1557

7365 Carnelian St
Ste 240
Rancho Cucamonga, CA 91730
Phone (909) 256-3245

3924 Riverview Dr
Riverside, CA 92509
Phone (951) 360-4175

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": "1461628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1073968160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7365 CARNELIAN ST STE 202",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917301157",
            "telephone_number": "951-281-1557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7365 CARNELIAN ST STE 202",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917301157",
            "telephone_number": "951-281-1557"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3924 Riverview Dr",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925096611",
            "country_code": "US",
            "telephone_number": "951-360-4175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JARAMILLO",
        "first_name": "KITCIA",
        "middle_name": "DAENA",
        "credential": "M.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-26",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "AMFT105215",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LMFT132028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

Verify at the official NPI Registry.