Individual provider Active NPI

Christin D Dunn, LMFT

  • Marriage & Family Therapist
  • Rancho Cucamonga, CA
National Provider Identifier
1568025856
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
120121 Issued in CA
Practice address
9431 Haven Ave Ste 100
Rancho Cucamonga, CA 91730-5879
Phone
(951) 452-6650
Fax
(888) 548-7039
NPI assigned
Apr 22, 2019
Last updated
Nov 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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 120121 CA Primary

Addresses

Primary practice location

9431 Haven Ave Ste 100
Rancho Cucamonga, CA 91730-5879

Mailing address

9431 Haven Ave Ste 100
Rancho Cucamonga, CA 91730-5879
Phone (909) 905-4619

Other practice location 1

8291 Utica Ave Ste 102
Rancho Cucamonga, CA 91730-3800
Phone (909) 727-7207

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
120121CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
My Serenity Mental Wellness, an Individual & Family Therapy Corp. Marriage & Family Therapist PastSince Feb 26, 2023 Accepting new patients
Victor Community Support Services, Inc. PastSince Nov 15, 2020 Accepting new patients

Organizations & group practices 2

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": "1555891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1568025856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9431 HAVEN AVE STE 100",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917305879",
            "telephone_number": "909-905-4619",
            "fax_number": "885-548-7039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9431 HAVEN AVE STE 100",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917305879",
            "telephone_number": "951-452-6650",
            "fax_number": "888-548-7039"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8291 Utica Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "917303800",
            "country_code": "US",
            "telephone_number": "909-727-7207",
            "fax_number": "909-727-3043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNN",
        "first_name": "CHRISTIN",
        "middle_name": "D",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-22",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "120121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; 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.