Imelda Mares, MASTERS IN SCIENCE

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

103913 Issued in CA

Practice address

980 West Sixth Street Suite 108
Ontario, CA 91762

Phone

(909) 292-7826

Fax

(909) 563-7235

NPI assigned

Aug 1, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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.

• Uplifting Bilingual Counseling Services, Inc.

  • Marriage & Family Therapist
  • Ontario, CA
  • NPI 1447044920
  NPD Authorized official

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

{
    "created_epoch": "1312156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1427336924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 WEST SIXTH STREET SUITE 108",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "91762",
            "telephone_number": "909-292-7826",
            "fax_number": "909-563-7235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 WEST SIXTH STREET SUITE 108",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "91762",
            "telephone_number": "909-292-7826",
            "fax_number": "909-563-7235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1908 Business Center Dr",
            "address_2": "Suite 220",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924083436",
            "country_code": "US",
            "telephone_number": "909-890-5930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARES",
        "first_name": "IMELDA",
        "name_prefix": "Mrs.",
        "credential": "MASTERS IN SCIENCE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-01",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "103913",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "103913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benedict Marasigan
• Carolina Maravilla
• Colleen Elizabeth Maravilla, RPT
• Samantha Maravillo
• Jacob Calvin Marcelo
• Maria a. Cruz-Agustin D.D.S Inc
• Maria Vargas Licensed Clinical Social Worker
• Maria Z. Carbajal, DDS, Inc
• Alejandro Marin
• Alicia Socorro Marin, D.C.

• Mental Health Counselor in Ontario, CA
• Providers in Ontario, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; 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.