Jonathan Stiansen, M.S., LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC45365 Issued in CA

Practice address

799 E Rialto Ave
San Bernardino, CA 92415-1005

Phone

(909) 383-3036

NPI assigned

Sep 11, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225929600000",
    "number": "1285829382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2782",
            "city": "RUNNING SPRINGS",
            "state": "CA",
            "postal_code": "923822782",
            "telephone_number": "909-261-5235",
            "fax_number": "909-383-3212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "799 E RIALTO AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924151005",
            "telephone_number": "909-383-3036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIANSEN",
        "first_name": "JONATHAN",
        "name_prefix": "Mr.",
        "credential": "M.S., LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-11",
        "last_updated": "2008-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF 48446",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC45365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel L Steward, M.D.
• Amelia Ray Stewart
• Jennifer C Stewart
• Kristani Stewart
• Taylor Sonje Stewart, MEDICAL ASSISTANT
• Laroyce Stiles
• Gregory Stills
• Matthew Keith Stilson, M.D.
• Erin Nicole Stines
• Ryan Andrew Stitzinger, DDS

• Marriage & Family Therapist in San Bernardino, CA
• Providers in San Bernardino, 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 Nov 6, 2008; 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.