Individual provider Active NPI

Danielle Nicole Larin, LMFT

  • Marriage & Family Therapist
  • Norco, CA
National Provider Identifier
1104021948
Registry record updated Nov 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
103879 Issued in CA
Practice address
2741 Hamner Ave Ste 202
Norco, CA 92860
Phone
(888) 512-6867
NPI assigned
Jun 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2018

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 64253 CA
Rehabilitation Practitioner 225400000X
Marriage & Family Therapist 106H00000X 103879 CA Primary

Addresses

Primary practice location

2741 Hamner Ave Ste 202
Norco, CA 92860

Mailing address

PO Box 171
La Verne, CA 91750-0171
Phone (909) 548-1744

Other practice location 1

2990 Inland Empire Blvd
101
Ontario, CA 91764-4899
Phone (909) 980-3427 ext. 219

Other practice location 2

2990 Inland Empire Blvd
101
Ontario, CA 91764-4899
Phone (909) 980-3427 ext. 219

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
103879CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541462400000",
    "number": "1104021948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 171",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917500171",
            "telephone_number": "909-548-1744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2741 HAMNER AVE STE 202",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "92860",
            "telephone_number": "888-512-6867"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2990 Inland Empire Blvd",
            "address_2": "101",
            "address_purpose": "LOCATION",
            "city": "Ontario",
            "state": "CA",
            "postal_code": "917644899",
            "country_code": "US",
            "telephone_number": "909-980-3427 x219",
            "fax_number": "909-945-3456",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2990 Inland Empire Blvd",
            "address_2": "101",
            "address_purpose": "LOCATION",
            "city": "Ontario",
            "state": "CA",
            "postal_code": "917644899",
            "country_code": "US",
            "telephone_number": "909-980-3427 x219",
            "fax_number": "909-945-3456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARIN",
        "first_name": "DANIELLE",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-20",
        "last_updated": "2018-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "64253",
            "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": "103879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2018; 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.