Individual provider Active NPI

Juiling Chen, LMFT

  • Marriage & Family Therapist
  • West Covina, CA
National Provider Identifier
1548901630
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT155672 Issued in CA
Practice address
1107 S Glendora Ave
West Covina, CA 91790-4923
Phone
(626) 653-9913
Fax
(626) 653-9914
NPI assigned
Apr 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X AMFT136689 CA
Student in an Organized Health Care Education/Training Program 390200000X
Marriage & Family Therapist 106H00000X LMFT155672 CA Primary

Addresses

Primary practice location

1107 S Glendora Ave
West Covina, CA 91790-4923

Mailing address

1515 W Cameron Ave Ste 210
West Covina, CA 91790-2726
Phone (626) 653-9913

Other practice location 1

1515 W Cameron Ave Ste 210
West Covina, CA 91790-2726
Phone (626) 653-9913

Other practice location 2

2000 Tyler Ave
South El Monte, CA 91733-3543
Phone (626) 442-1400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250911004654 CA Practitioner - Marriage and Family Therapist 0547763880 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1220 Highland Ave
Suite 1943
Duarte, CA 91010-2512

905 E 8TH St
Los Angeles, CA 90021-1848

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AMFT136689CAMDMarriage & Family Therapist
LMFT155672CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Special Service for Groups, Inc. Current Accepting new patients
Special Service for Groups, Inc. CurrentSince Jun 16, 2025 Accepting new patients
Special Service for Groups, Inc. CurrentSince Jun 16, 2025 Accepting new patients
Special Service for Groups, Inc. PastSince Sep 1, 2023 Accepting new patients

Locations

905 E 8th St
Los Angeles, CA 90021
Phone (213) 553-1800

1107 S Glendora Ave
West Covina, CA 91790
Phone (626) 653-9913

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1548901630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 W CAMERON AVE STE 210",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917902726",
            "telephone_number": "626-653-9913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 S GLENDORA AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917904923",
            "telephone_number": "626-653-9913",
            "fax_number": "626-653-9914"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1515 W Cameron Ave Ste 210",
            "address_purpose": "LOCATION",
            "city": "West Covina",
            "state": "CA",
            "postal_code": "917902726",
            "country_code": "US",
            "telephone_number": "626-653-9913",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 Tyler Ave",
            "address_purpose": "LOCATION",
            "city": "South El Monte",
            "state": "CA",
            "postal_code": "917333543",
            "country_code": "US",
            "telephone_number": "626-442-1400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEN",
        "first_name": "JUILING",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-05",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT136689",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT155672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

Verify at the official NPI Registry.