Individual provider Active NPI

Ilse Aerts

  • Marriage & Family Therapist
  • Ontario, CA
National Provider Identifier
1174975155
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
96211 Issued in CA
Practice address
3633 Inland Empire Blvd Ste 777
Ontario, CA 91764-7974
Phone
(909) 295-5805
NPI assigned
Jul 1, 2016
Last updated
Feb 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6135 CA
Marriage & Family Therapist 106H00000X 96211 CA Primary

Addresses

Primary practice location

3633 Inland Empire Blvd Ste 777
Ontario, CA 91764-7974

Mailing address

6649 Amethyst Ave Unit 8878
Alta Loma, CA 91701-1540
Phone (909) 736-0088

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
I20240219002725 CA Practitioner - Marriage and Family Therapist 3476997339 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Thrive Psychological Services IncGroup PAC ID 1658744974, 13 clinicians

Practice addresses (Care Compare)

3633 Inland Empire Blvd
Suite 777
Ontario, CA 91764-7974
Phone (909) 295-5805

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Central Counseling Services Licensed Clinical Social Worker Inc Marriage & Family Therapist CurrentSince Apr 1, 2024 Accepting new patients
Thrive Psychological Services Inc CurrentSince Jan 6, 2024 Accepting new patients

Locations

3633 Inland Empire Blvd
Ste 777
Ontario, CA 91764
Phone (909) 235-5662

6840 Indiana Ave
Ste 275
Riverside, CA 92506
Phone (951) 778-0230

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1467331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1174975155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6649 AMETHYST AVE UNIT 8878",
            "city": "ALTA LOMA",
            "state": "CA",
            "postal_code": "917011540",
            "telephone_number": "909-736-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3633 INLAND EMPIRE BLVD STE 777",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917647974",
            "telephone_number": "909-295-5805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AERTS",
        "first_name": "ILSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-01",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "6135",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "96211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, CA

Sources for this page

Verify at the official NPI Registry.