Individual provider Active NPI

Julie Rae Chappa, LMFT

  • Marriage & Family Therapist
  • Rancho Cucamonga, CA
National Provider Identifier
1619264652
Registry record updated Jul 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
9375 Archibald Ave Ste 311
Rancho Cucamonga, CA 91730-5703
Phone
(909) 256-7343
NPI assigned
Jun 28, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IMF64059 CA
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

9375 Archibald Ave Ste 311
Rancho Cucamonga, CA 91730-5703

Mailing address

17063 Hackberry LN
Fontana, CA 92337-6885
Phone (909) 708-7313

Other practice location 1

11500 Paramount Blvd
Downey, CA 90241-4530
Phone (562) 923-4545

Other practice location 2

10630 Town Center Dr Ste 121
Rancho Cucamonga, CA 91730-6889
Phone (909) 989-0901

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
IMF64059CAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596153600000",
    "number": "1619264652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17063 HACKBERRY LN",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923376885",
            "telephone_number": "909-708-7313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9375 ARCHIBALD AVE STE 311",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917305703",
            "telephone_number": "909-256-7343"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11500 Paramount Blvd",
            "address_purpose": "LOCATION",
            "city": "Downey",
            "state": "CA",
            "postal_code": "902414530",
            "country_code": "US",
            "telephone_number": "562-923-4545",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10630 Town Center Dr Ste 121",
            "address_purpose": "LOCATION",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "917306889",
            "country_code": "US",
            "telephone_number": "909-989-0901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAPPA",
        "first_name": "JULIE",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-28",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "IMF64059",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "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 Jul 31, 2020; 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.