Active NPI
Sara Lynn Plyley, MFT
- Marriage & Family Therapist
- La Verne, CA
National Provider Identifier
1184928004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 115172
- Practice address
- 1035 Bonita Ave
La Verne, CA 91750-5109 - Phone
- (909) 821-9023
- NPI assigned
- Jan 6, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | IMF63853 | CA | |
| Marriage & Family Therapist | 106H00000X | 115172 | CA | Primary |
Addresses
Primary practice location
1035 Bonita Ave
La Verne, CA 91750-5109
Mailing address
233 Baseline Rd
La Verne, CA 91750-2353
Phone (909) 593-2581
Other practice location 1
1035 Bonita Ave
LA Verne, CA 91750-5109
Phone (909) 821-9023
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7565A | Other | CA | OUTPATIENT MENTAL HEALTH |
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 |
|---|---|---|---|
| IMF63853 | CA | MD | Mental Health Counselor |
| 115172 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Haynes Family of Programs | Past | Accepting new patients | |
| Leroy Haynes Center | Past | Accepting new patients |
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.
-
- Mental Illness Community Based Residential Treatment Facility
- La Verne, CA
- NPI 1164548236
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- La Verne, CA
- NPI 1467713743
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665014400000",
"number": "1184928004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "233 BASELINE RD",
"city": "LA VERNE",
"state": "CA",
"postal_code": "917502353",
"telephone_number": "909-593-2581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1035 BONITA AVE",
"city": "LA VERNE",
"state": "CA",
"postal_code": "917505109",
"telephone_number": "909-821-9023"
}
],
"practiceLocations": [
{
"address_1": "1035 Bonita Ave",
"address_purpose": "LOCATION",
"city": "LA Verne",
"state": "CA",
"postal_code": "917505109",
"country_code": "US",
"telephone_number": "909-821-9023",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PLYLEY",
"first_name": "SARA",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-06",
"last_updated": "2022-10-06",
"certification_date": "2022-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "IMF63853",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "115172",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OUTPATIENT MENTAL HEALTH",
"identifier": "7565A",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in La Verne, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.