Advocate Family Counseling Professional Corporation
Organization Active NPI Marriage & Family Therapist · Alta Loma, CA
NPI 1508601329 · NPPES record last updated Nov 21, 2024
Key facts
- NPI
- 1508601329
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- Legal business name
- ADVOCATE FAMILY COUNSELING PROFESSIONAL CORPORATION
- Practice address
- 10578 Deer Canyon Dr
Alta Loma, CA 91737-2478 - Phone
- (909) 689-7241
- NPI assigned
- Jun 25, 2024
- Organization subpart
- No
Authorized official
- Name
- Sydney Simone Johnson, LMFT
- Title
- Therapist/Owner
- Phone
- (909) 689-7241
Practitioners 1
-
Sydney Simone Flowers, LMFT 142306
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250211003897 | CA | Part B Supplier - Clinic/Group Practice | 2567996770 |
Receives reassigned benefits from 1 practitioner Practice locations: Alta Loma, CA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist |
106H00000X | Yes |
Addresses
Primary practice location
10578 Deer Canyon Dr
Alta Loma, CA 91737-2478
Mailing address
8605 Santa Monica Blvd
West Hollywood, CA 90069-4109
Phone (909) 689-7241
Other providers in Alta Loma, CA
- ABA Bears, Inc
- Luis F Acosta
- Antranig Frank Aghbashian
- Carlos Aguirre
- Alta Loma Usd
- Jerry Anderson
- Andrew Peterson DMD Ms PC
All providers in Alta Loma, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 21, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.