Active NPI
Stephanie Ann Rios, MFT INTERN
- Marriage & Family Therapist
- Big Bear Lake, CA
National Provider Identifier
1639206352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- IMF 42728
- Practice address
- 41945 Big Bear Blvd.
Suite 200
Big Bear Lake, CA 92315 - Phone
- (909) 866-5712
- Fax
- (909) 866-3228
- NPI assigned
- Feb 28, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | IMF 42728 | CA | Primary |
Addresses
Primary practice location
41945 Big Bear Blvd.
Suite 200
Big Bear Lake, CA 92315
Mailing address
PO Box 1927
P.O. Box 1927
Big Bear Lake, CA 92315-1927
Phone (909) 866-5721
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5034 | Other | CA | MEDICAL SIMON NUMBER |
| IMF 42728 | Other | CA | MFT INTERN NUMBER |
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 |
|---|---|---|---|
| IMF 42728 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1639206352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1927",
"address_2": "P.O. BOX 1927",
"city": "BIG BEAR LAKE",
"state": "CA",
"postal_code": "923151927",
"telephone_number": "909-866-5721",
"fax_number": "909-866-3228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41945 BIG BEAR BLVD.",
"address_2": "SUITE 200",
"city": "BIG BEAR LAKE",
"state": "CA",
"postal_code": "92315",
"telephone_number": "909-866-5712",
"fax_number": "909-866-3228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIOS",
"first_name": "STEPHANIE",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "MFT INTERN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "IMF 42728",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL SIMON NUMBER",
"identifier": "5034",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MFT INTERN NUMBER",
"identifier": "IMF 42728",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Big Bear Lake, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.