Active NPI
Fred Irvine Dunning Jr., LMFT
- Marriage & Family Therapist
- Apple Valley, CA
National Provider Identifier
1215296231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT101214
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT101214 | CA | MD | Marriage & Family Therapist |
| MLFT101214 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New 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.