Samantha Marie Chiuppi, LMFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LMFT113853 Issued in CA

Practice address

2545 S Euclid Ave
Ontario, CA 91762-6620

Phone

(909) 983-5575

NPI assigned

Jun 28, 2019

Sex

Female

Sole proprietor

No

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.

• Act Family Counseling Incorporated

  • Marriage & Family Therapist
  • Ontario, CA
  • NPI 1831494350
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

• Samantha Marie Allison Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 28, 2019.

{
    "created_epoch": "1561680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572220800000",
    "number": "1336701432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2071",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917082071",
            "telephone_number": "951-805-4557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2545 S EUCLID AVE",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917626620",
            "telephone_number": "909-983-5575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIUPPI",
        "first_name": "SAMANTHA",
        "middle_name": "MARIE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-28",
        "last_updated": "2019-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LMFT113853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "ALLISON",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anissah Chinn
• Renan Orlando Chirinos, DDS
• Lisa Chirk, BCBA
• Willow Chitty
• Derek Chiu, PT
• Elizabeth H Choi, RPH
• Eunice Choi
• Hanna Choi, PHYSICIAN ASSISTANT
• Jun Hyeok Choi
• Matthew Choi

• All providers in Ontario, CA
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; 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.