Individual provider Active NPI

Pui Chun Loomis

  • Mental Health Counselor
  • West Covina, CA
National Provider Identifier
1295203719
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCSW111680 Issued in CA
Practice address
100 N Barranca St # 750
West Covina, CA 91791-1637
Phone
(626) 559-0813
NPI assigned
Nov 2, 2018
Last updated
Oct 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Mental Health Counselor 101YM0800X ACSW84905 CA
Mental Health Counselor 101YM0800X LCSW111680 CA Primary
Social Worker 104100000X ACSW84905 CA
Clinical Social Worker 1041C0700X LCSW111680 CA

Addresses

Primary practice location

100 N Barranca St # 750
West Covina, CA 91791-1637

Mailing address

100 N Barranca St # 750
West Covina, CA 91791-1637
Phone (626) 559-0813

Other practice location 1

2155 E Garvey Ave N Ste B2
West Covina, CA 91791-1509
Phone (626) 489-9144

Other practice location 2

1509 W Cameron Ave Ste 230
West Covina, CA 91790-2725
Phone (626) 993-3000

Other practice location 3

1635 W Main St Ste 100
Alhambra, CA 91801-1951
Phone (626) 248-1800

Other names 1

  • Alice Loomis Other 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
I20260226003762 CA Practitioner - Clinical Social Worker 0143701185 Practice locations: West Covina, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

100 N Barranca St
Suite 750
West Covina, CA 91791-1647
Phone (626) 559-0813

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ACSW84905CAMDMental Health Counselor
LCSW111680CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Through the Sea Marriage and Family Counseling Inc Clinical PastSince Jan 1, 2023 Accepting new patients
Descanso Home Health Services Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1541116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1295203719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N BARRANCA ST # 750",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917911637",
            "telephone_number": "626-559-0813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N BARRANCA ST # 750",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917911637",
            "telephone_number": "626-559-0813"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2155 E Garvey Ave N Ste B2",
            "address_purpose": "LOCATION",
            "city": "West Covina",
            "state": "CA",
            "postal_code": "917911509",
            "country_code": "US",
            "telephone_number": "626-489-9144",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1509 W Cameron Ave Ste 230",
            "address_purpose": "LOCATION",
            "city": "West Covina",
            "state": "CA",
            "postal_code": "917902725",
            "country_code": "US",
            "telephone_number": "626-993-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1635 W Main St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Alhambra",
            "state": "CA",
            "postal_code": "918011951",
            "country_code": "US",
            "telephone_number": "626-248-1800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOOMIS",
        "first_name": "PUI CHUN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-02",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "ACSW84905",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LCSW111680",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "ACSW84905",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW111680",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICE",
            "last_name": "LOOMIS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in West Covina, CA

Sources for this page

Verify at the official NPI Registry.