Ericalynn Shifter Avalos, M.S.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

90320 Issued in CA

Practice address

1812 W Park Ave
Redlands, CA 92373-8014

Phone

(909) 748-0259

Fax

(909) 748-6451

NPI assigned

Aug 18, 2011

Last updated

Sep 20, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• San Bernardino County Superintendent of Schools

  • Community/Behavioral Health Agency
  • Redlands, CA
  • NPI 1033668066
  NPD (past)
• San Bernardino County Superintendent of Schools

  dba Sbcss Stu SVS Coun CNTR

  • Mental Health Counselor
  • Redlands, CA
  • NPI 1104183763
  NPD (past)

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

{
    "created_epoch": "1313625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1215217500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 W PARK AVE",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923738014",
            "telephone_number": "909-748-0259",
            "fax_number": "909-748-6451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 W PARK AVE",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923738014",
            "telephone_number": "909-748-0259",
            "fax_number": "909-748-6451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVALOS",
        "first_name": "ERICALYNN",
        "middle_name": "SHIFTER",
        "name_prefix": "Mrs.",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-18",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "90320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Redlands, CA
• Providers in Redlands, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; 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.