Isabelle Fahmi Barsoum Sr., AMFT

Primary specialty

CounselorTaxonomy code 101Y00000X

License

125213 Issued in CA

Practice address

11800 Central Ave
Chino, CA 91710-7200

Phone

(909) 517-2020

NPI assigned

May 25, 2021

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

Other names 1

• Ms. Isabelle Fahmi Barsoum Sr. Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1621900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1538734132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11800 CHINO AVE. STE. # 125",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "91710",
            "telephone_number": "909-517-2020",
            "fax_number": "909-517-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11800 CENTRAL AVE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917107200",
            "telephone_number": "909-517-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARSOUM",
        "first_name": "ISABELLE",
        "middle_name": "FAHMI",
        "name_prefix": "Ms.",
        "name_suffix": "Sr.",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-25",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "125213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ISABELLE",
            "last_name": "BARSOUM",
            "middle_name": "FAHMI",
            "prefix": "MS.",
            "suffix": "SR.",
            "credential": "AMFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Carlene Barbosa
• Jacqueline Adriana Barbosa, PA-C
• Veronica Scheele Baron-Vartian, LCSW, PPSC
• Ronni Barrios
• Barsoum Dental Corp
• Shala Monaa Battle, FNP
• Bautista Family Foot Clinic
• Christopher C Bautista
• BDP Hospice & Palliative Care, Inc.
• Jazzlyn Gallardo Beck, DO

• Counselor in Chino, CA
• Providers in Chino, CA by specialty
• Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; 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.