Active NPI
Christine L Rose, LMFT
- Mental Health Counselor
- Rancho Cucamonga, CA
National Provider Identifier
1386624294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 19001
- Practice address
- 8333 Foothill Blvd
Suite 202
Rancho Cucamonga, CA 91730-3154 - Phone
- (909) 579-8205
- Fax
- (909) 579-8250
- NPI assigned
- Jan 18, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 19001 | CA | |
| Mental Health Counselor | 101YM0800X | 19001 | CA | Primary |
Addresses
Primary practice location
8333 Foothill Blvd
Suite 202
Rancho Cucamonga, CA 91730-3154
Mailing address
8333 Foothill Blvd Ste 201
Rancho Cucamonga, CA 91730-3156
Phone (909) 771-9185
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19001 | Other | CA | PROFESSIONAL LICENSE # |
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 |
|---|---|---|---|
| 19001 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543968000000",
"number": "1386624294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8333 FOOTHILL BLVD STE 201",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917303156",
"telephone_number": "909-771-9185",
"fax_number": "909-579-8250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8333 FOOTHILL BLVD",
"address_2": "SUITE 202",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917303154",
"telephone_number": "909-579-8205",
"fax_number": "909-579-8250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSE",
"first_name": "CHRISTINE",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-01-18",
"last_updated": "2018-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "19001",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "19001",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROFESSIONAL LICENSE #",
"identifier": "19001",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rancho Cucamonga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.