Individual provider Active NPI

Fred Irvine Dunning Jr., LMFT

  • Marriage & Family Therapist
  • Apple Valley, CA
National Provider Identifier
1215296231
Registry record updated Sep 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT101214 Issued in CA
Practice address
18838 US Highway 18
Apple Valley, CA 92307-2332
Phone
(760) 938-5240
Fax
(760) 998-3508
NPI assigned
May 10, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2020

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 LMFT101214 CA
Marriage & Family Therapist 106H00000X MLFT101214 CA
Marriage & Family Therapist 106H00000X LMFT101214 CA Primary

Addresses

Primary practice location

18838 US Highway 18
Apple Valley, CA 92307-2332

Mailing address

12277 Apple Valley Rd # 290
Apple Valley, CA 92308-1701
Phone (760) 938-5240

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
LMFT101214CAMDMarriage & Family Therapist
MLFT101214CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vital Experiences Mental Health Current Accepting new patients

Locations

15500 W Sand St
Ste 4
Victorville, CA 92392

Organizations & group practices 1

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": "1336608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1215296231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12277 APPLE VALLEY RD # 290",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923081701",
            "telephone_number": "760-938-5240",
            "fax_number": "760-998-3508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18838 US HIGHWAY 18",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072332",
            "telephone_number": "760-938-5240",
            "fax_number": "760-998-3508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNNING",
        "first_name": "FRED",
        "middle_name": "IRVINE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-10",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LMFT101214",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MLFT101214",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT101214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; 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.