Individual provider Active NPI

Andreana Mabry, LMFT

  • Marriage & Family Therapist
  • Rancho Cucamonga, CA
National Provider Identifier
1558773697
Registry record updated Jan 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
109620 Issued in CA
Practice address
9431 Haven Ave Ste 229
Rancho Cucamonga, CA 91730-5848
Phone
(909) 402-2535
NPI assigned
May 23, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2025

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 109620 CA Primary

Addresses

Primary practice location

9431 Haven Ave Ste 229
Rancho Cucamonga, CA 91730-5848

Mailing address

9431 Haven Ave Ste 229
Rancho Cucamonga, CA 91730-5848
Phone (909) 402-2535

Other names 1

  • Andreana Arsene Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 22, 2024 through Apr 22, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Andreana Mabry, Licensed Marriage and Family Therapist CurrentSince Nov 1, 2020 Accepting new patients

Locations

9431 Haven Ave
Ste 229
Rancho Cucamonga, CA 91730
Phone (909) 402-2535

10601 Civic Center Dr
Ste 100BC
Rancho Cucamonga, CA 91730

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": "1400803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737763200000",
    "number": "1558773697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9431 HAVEN AVE STE 229",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917305848",
            "telephone_number": "909-402-2535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9431 HAVEN AVE STE 229",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917305848",
            "telephone_number": "909-402-2535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MABRY",
        "first_name": "ANDREANA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-23",
        "last_updated": "2025-01-25",
        "certification_date": "2025-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "109620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREANA",
            "last_name": "ARSENE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rancho Cucamonga, CA

Sources for this page

Verify at the official NPI Registry.