Jenna Hardy-Surina, M.A. LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

128702 Issued in CA

Practice address

790 Indigo CT Ste C
Pomona, CA 91767-2272

Phone

(909) 255-6554

Fax

(909) 850-3221

NPI assigned

Apr 19, 2022

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1650326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1396488250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 BIRCH AVE",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864422",
            "telephone_number": "909-255-6554",
            "fax_number": "909-850-3221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 INDIGO CT STE C",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917672272",
            "telephone_number": "909-255-6554",
            "fax_number": "909-850-3221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2377 W Foothill Blvd Ste 11",
            "address_purpose": "LOCATION",
            "city": "Upland",
            "state": "CA",
            "postal_code": "917863584",
            "country_code": "US",
            "telephone_number": "909-618-0257 x701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARDY-SURINA",
        "first_name": "JENNA",
        "credential": "M.A. LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-19",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "128702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Elizabeth Hanson
• Margaret Harari
• Kareem Harb
• Bradford Hardesty, M.D.
• Ethan Joseph Harding
• Ella Hardy
• Terrance Hardy
• Lawrence B Harkless, DPM
• Harmony House Recovery LLC
• Katherine Harms, RD

• Marriage & Family Therapist in Pomona, CA
• Providers in Pomona, 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 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.