Active NPI
Julie Rae Chappa, LMFT
- Marriage & Family Therapist
- Rancho Cucamonga, CA
National Provider Identifier
1619264652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| IMF64059 | CA | MD | Mental 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.