Kirsten Cheong

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

9431 Haven Ave
Rancho Cucamonga, CA 91730-5878

Phone

(760) 281-3364

NPI assigned

Jan 5, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Nova Individual and Family Therapy Inc

  • Marriage & Family Therapist
  • Rancho Cucamonga, CA
  • NPI 1710696851
  NPD Authorized official
• Aegis Treatment Centers, LLC

  • Methadone Clinic
  • Hesperia, CA
  • NPI 1740346386
  NPD (past)
• LSS Community Care Center

  • Community/Behavioral Health Agency
  • Barstow, CA
  • NPI 1265838023
  NPD (past)

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

{
    "created_epoch": "1451952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1346606407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9431 HAVEN AVE",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917305878",
            "telephone_number": "760-281-3364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9431 HAVEN AVE",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917305878",
            "telephone_number": "760-281-3364"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11776 Mariposa Rd",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Hesperia",
            "state": "CA",
            "postal_code": "923451622",
            "country_code": "US",
            "telephone_number": "760-956-2462",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "309 E Mountain View St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Barstow",
            "state": "CA",
            "postal_code": "923112814",
            "country_code": "US",
            "telephone_number": "760-256-7279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEONG",
        "first_name": "KIRSTEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-05",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yung Chun Chen, DMD
• Joseph Tzu-Shuo Cheng
• Lawrence Min Cheng, DDS
• Timothy Cheng, PHARM D.
• Xin Cheng
• Jeremiah Cheratt, D.C.
• Cherish Care Hospice Inc
• Brian Chesher, M.A. MFT
• Jessica Chessman
• Carmen Cheung, DDS

• Marriage & Family Therapist in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, 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 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.