Jennifer Sherae Vidal

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

AMFT150593 Issued in CA

Practice address

11800 Central Ave Ste 225
Chino, CA 91710-7201

Phone

(909) 591-5085

NPI assigned

Oct 25, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Personalized Treatment & Intervention Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Inglewood, CA
  • NPI 1861026445
  NPD
• Serene Pathways Family Counseling Inc

  • Marriage & Family Therapist
  • Chino, CA
  • NPI 1174913321
  NPD

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

{
    "created_epoch": "1729814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1386466969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 356",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917090012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11800 CENTRAL AVE STE 225",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917107201",
            "telephone_number": "909-591-5085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIDAL",
        "first_name": "JENNIFER",
        "middle_name": "SHERAE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-25",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT150593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nivia Vides, RNP
• Adam M Vigil, DC
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• Vilchez Dental Corporation
• Helen Vilchez

• Marriage & Family Therapist in Chino, CA
• Providers in Chino, 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 Oct 25, 2024; 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.