Maple Leaf Counseling, Inc.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MAPLE LEAF COUNSELING, INC.

Practice address

411 N Indian Hill Blvd
Claremont, CA 91711-4614

Phone

(626) 818-8327

NPI assigned

Apr 24, 2024

Organization subpart

No

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

Authorized official

Name

Antoinette Ibrahimi, PSY.D.NPI 1871720813

Title

Owner

Phone

(626) 818-8327

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Antoinette Marie Kathol Ibrahimi, PSY.D.

  • Clinical Psychologist
  • Claremont, CA
  • NPI 1871720813

  Mental Health

  NPD Authorized official
• Irene Chou, M.ED., M.S.

  • Mental Health Counselor
  • Arcadia, CA
  • NPI 1467306092
  NPD (past)

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

{
    "created_epoch": "1713916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714435200000",
    "number": "1639925464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 W 14TH ST",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917862678",
            "telephone_number": "626-818-8327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 N INDIAN HILL BLVD",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917114614",
            "telephone_number": "626-818-8327"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "212 E Foothill Blvd Ste D",
            "address_purpose": "LOCATION",
            "city": "Arcadia",
            "state": "CA",
            "postal_code": "910062527",
            "country_code": "US",
            "telephone_number": "626-818-8327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MAPLE LEAF COUNSELING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-24",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A",
        "authorized_official_last_name": "IBRAHIMI",
        "authorized_official_first_name": "ANTOINETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-818-8327",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisette Mancilla, LMFT
• Jasvinder Kaur Mann, LCSW
• Jo Ann Mann, M.S., C.C.C.
• Natalie Mann, DDS
• Vaishnavi Mansabdar
• Marianne Talukdar, DDS, Inc.
• Jesus S Marin
• Ann Marker, RN
• Marriage & Family Therapy Services, Inc. (Bright Road Recovery)
• Marriage & Family Therapy Services, Inc. (Bright Road Recovery Residential Treatment Center)

• Mental Health Clinic/Center (Including Community Mental Health Center) in Claremont, CA
• Providers in Claremont, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.