Individual provider Active NPI

Rocio Garcia Reyes, MS CLINICAL PSYCH

  • Marriage & Family Therapist
  • Chino, CA
National Provider Identifier
1497271274
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
AMFT105366 Issued in CA
Practice address
13149 3Rd St
Chino, CA 91710-4007
Phone
(909) 342-6681
Fax
(909) 413-0241
NPI assigned
Aug 14, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X AMFT105366 CA Primary

Addresses

Primary practice location

13149 3Rd St
Chino, CA 91710-4007

Mailing address

13149 3Rd St
Chino, CA 91710-4007
Phone (909) 626-8181

Other identifiers 2

IdentifierTypeStateIssuer
AMFT105366OtherCATHERAPIST LICENSE
105366OtherCAASSOCIATE LIFE MARRIED FAMILY THERAPIST

Other names 1

  • Rocio A Garcia Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address credentialing@safeharborcci.org Health Information Exchange (HIE)

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
AMFT105366CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Safe Harbor Catholic Counseling Institute Mental Health CurrentSince Mar 1, 2020 Accepting new patients

Locations

13149 3rd St
Chino, CA 91710
Phone (909) 342-6681

630 S Indian Hill Blvd
Ste 2
Claremont, CA 91711
Phone (909) 626-8181

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1502668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1497271274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13149 3RD ST",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917104007",
            "telephone_number": "909-626-8181",
            "fax_number": "866-376-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13149 3RD ST",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917104007",
            "telephone_number": "909-342-6681",
            "fax_number": "909-413-0241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA REYES",
        "first_name": "ROCIO",
        "credential": "MS CLINICAL PSYCH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-14",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT105366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THERAPIST LICENSE",
            "identifier": "AMFT105366",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASSOCIATE LIFE MARRIED FAMILY THERAPIST",
            "identifier": "105366",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "credentialing@safeharborcci.org",
            "affiliation": "N",
            "endpointDescription": "all communications",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "13149 3rd St",
            "city": "Chino",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917104007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ROCIO",
            "last_name": "GARCIA",
            "middle_name": "A",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.