Blanca Ruth Nicassio, AMFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

106568 Issued in CA

Practice address

14677 Merrill Ave
Fontana, CA 92335

Phone

(951) 643-2340

NPI assigned

Jan 29, 2019

Sex

Female

Sole proprietor

No

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.

• Alondra Loya

  • Case Manager/Care Coordinator
  • Fontana, CA
  • NPI 1568160828
  NPD

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

{
    "created_epoch": "1548720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1538623004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9825 MAGNOLIA AVE STE B",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033565",
            "telephone_number": "951-509-2499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14677 MERRILL AVE",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "92335",
            "telephone_number": "951-643-2340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5353 G St",
            "address_purpose": "LOCATION",
            "city": "Chino",
            "state": "CA",
            "postal_code": "917105250",
            "country_code": "US",
            "telephone_number": "909-590-4001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9500 Etiwanda Ave",
            "address_purpose": "LOCATION",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "917399662",
            "country_code": "US",
            "telephone_number": "837-190-9708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICASSIO",
        "first_name": "BLANCA",
        "middle_name": "RUTH",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-29",
        "last_updated": "2023-09-25",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "APCC6302",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "106568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trevor Nguyen, DO
• Uyenphuong Esther Kieu Le Nguyen, PHARM.D
• Vananh Cao Nguyen, PHARM D
• Willson Nguyen
• Ching-Long C. Ni, MD
• Ida A Nieuwenhuizen, PA
• Sukhmeet Nijjrah
• Bianca Patricia Nino-Lanathoua
• Yasuhiro Nishiura, M.D.
• David CHI-Ming Niu, M.D.

• Mental Health Counselor in Fontana, CA
• Providers in Fontana, 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 Sep 25, 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.