Individual provider Active NPI

Sirena Campagna, LMFT

  • Marriage & Family Therapist
  • Ontario, CA
National Provider Identifier
1093199473
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
125840 Issued in CA
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

Updated by the provider on Sep 9, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
125840CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Psychhealing Counseling Center Inc CurrentSince Apr 6, 2023 Accepting new patients
Psychhealing Counseling Center, Inc CurrentSince Sep 12, 2021 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.

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.

Verify at the official NPI Registry.