Individual provider Active NPI

Idalis Katerin Morrow, LMFT

  • Marriage & Family Therapist
  • Ontario, CA
National Provider Identifier
1265789606
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
122307 Issued in CA
Practice address
3200 E Guasti Rd Ste 100
Ontario, CA 91761-8661
Phone
(909) 248-4412
NPI assigned
Aug 3, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 122307 CA Primary

Addresses

Primary practice location

3200 E Guasti Rd Ste 100
Ontario, CA 91761-8661

Mailing address

11875 Pigeon Pass Rd Ste B13
Moreno Valley, CA 92557-6044
Phone (951) 442-4187

Other names 1

  • Idalis K Vargas Former name

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
I20241003000270 CA Practitioner - Marriage and Family Therapist 7214468149 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
122307CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stacie Pasimio Ms LMFT Marriage & Family Therapist CurrentSince Nov 11, 2024 Accepting new patients

Locations

3200 E Guasti Rd
Ste 100
Ontario, CA 91761
Phone (877) 414-7739

3281 E Guasti Rd
#713
Ontario, CA 91761
Phone (909) 600-8134

3281 E Guasti Rd
Ste 713
Ontario, CA 91761
Phone (909) 600-8134

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": "1343952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1265789606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11875 PIGEON PASS RD STE B13",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925576044",
            "telephone_number": "951-442-4187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 E GUASTI RD STE 100",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917618661",
            "telephone_number": "909-248-4412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORROW",
        "first_name": "IDALIS",
        "middle_name": "KATERIN",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-03",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "122307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IDALIS",
            "last_name": "VARGAS",
            "middle_name": "K",
            "credential": "LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ontario, CA

Sources for this page

Verify at the official NPI Registry.