Active NPI
Sirena Campagna, LMFT
- Marriage & Family Therapist
- Ontario, CA
National Provider Identifier
1093199473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 125840
- Practice address
- 1011 N Begonia Ave Ste 1009
Ontario, CA 91762-2104 - Phone
- (800) 683-2945
- NPI assigned
- Jul 15, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 95283 | CA | |
| Rehabilitation Practitioner | 225400000X | |||
| Marriage & Family Therapist | 106H00000X | 125840 | CA | Primary |
Addresses
Primary practice location
1011 N Begonia Ave Ste 1009
Ontario, CA 91762-2104
Mailing address
540 S Eremland Dr
Covina, CA 91723-3186
Phone (626) 966-1577
Other practice location 1
540 S Eremland Dr
Covina, CA 91723-3186
Phone (626) 966-1577
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125840 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychhealing Counseling Center Inc | Current | Accepting new patients | |
| Psychhealing Counseling Center, Inc | Current | Accepting new patients |
Locations
1011 N Begonia Ave
Ste 1009
Ontario, CA 91762
Phone (323) 786-2425
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.
-
- Psychiatry Physician
- Ontario, CA
- NPI 1235833161
-
- Clinical Psychologist
- Ontario, CA
- NPI 1609327667
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631145600000",
"number": "1093199473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "540 S EREMLAND DR",
"city": "COVINA",
"state": "CA",
"postal_code": "917233186",
"telephone_number": "626-966-1577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 N BEGONIA AVE STE 1009",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917622104",
"telephone_number": "800-683-2945"
}
],
"practiceLocations": [
{
"address_1": "540 S Eremland Dr",
"address_purpose": "LOCATION",
"city": "Covina",
"state": "CA",
"postal_code": "917233186",
"country_code": "US",
"telephone_number": "626-966-1577",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAMPAGNA",
"first_name": "SIRENA",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-15",
"last_updated": "2021-09-09",
"certification_date": "2021-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "95283",
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "125840",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ontario, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.