Active NPI
Vickie Lashell Marshall, LMFT
- Mental Health Counselor
- Pomona, CA
National Provider Identifier
1295945509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 86669
- Practice address
- 831 E Arrow Hwy
Pomona, CA 91767-2535 - Phone
- (909) 398-4383
- NPI assigned
- May 23, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 74309 | CA | |
| Mental Health Counselor | 101YM0800X | 86669 | CA | Primary |
Addresses
Primary practice location
831 E Arrow Hwy
Pomona, CA 91767-2535
Mailing address
831 E Arrow Hwy
Pomona, CA 91767-2535
Phone (909) 398-4383
Other practice location 1
1800 E Old Ranch Rd
Apt. 112
Colton, CA 92324-4694
Phone (909) 793-1078 ext. 106
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 74309 | Other | CA | BOARD OF BEHAVIOR SCIENCES |
| 86669 | Other | CA | BOARD OF BEHAVIORAL SCIENCES |
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 |
|---|---|---|---|
| 74309 | CA | MD | Pharmacist |
| 86669 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599004800000",
"number": "1295945509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "831 E ARROW HWY",
"city": "POMONA",
"state": "CA",
"postal_code": "917672535",
"telephone_number": "909-398-4383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "831 E ARROW HWY",
"city": "POMONA",
"state": "CA",
"postal_code": "917672535",
"telephone_number": "909-398-4383"
}
],
"practiceLocations": [
{
"address_1": "1800 E Old Ranch Rd",
"address_2": "Apt. 112",
"address_purpose": "LOCATION",
"city": "Colton",
"state": "CA",
"postal_code": "923244694",
"country_code": "US",
"telephone_number": "909-793-1078 x106",
"fax_number": "909-335-7330",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARSHALL",
"first_name": "VICKIE",
"middle_name": "LASHELL",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-23",
"last_updated": "2020-09-02",
"certification_date": "2020-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "74309",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "86669",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF BEHAVIOR SCIENCES",
"identifier": "74309",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF BEHAVIORAL SCIENCES",
"identifier": "86669",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pomona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.