Individual provider Active NPI

Zelda Marie Verrett, LMFT

  • Marriage & Family Therapist
  • San Bernardino, CA
National Provider Identifier
1649562513
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
111462 Issued in CA
Practice address
473 S Carnegie Dr Ste 200
San Bernardino, CA 92408-4201
Phone
(909) 533-4585
Fax
(909) 533-4590
NPI assigned
May 10, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 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 111462 CA Primary

Addresses

Primary practice location

473 S Carnegie Dr Ste 200
San Bernardino, CA 92408-4201

Mailing address

473 S Carnegie Dr Ste 200
San Bernardino, CA 92408-4201
Phone (909) 533-4585

Other identifiers 1

IdentifierTypeStateIssuer
100143847MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250819004724 CA Practitioner - Marriage and Family Therapist 2668971292 Practice locations: San Bernardino, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

473 E Carnegie Dr
Suite 200
San Bernardino, CA 92408-4201
Phone (909) 533-4585

PO Box
Suite 11866
San Bernardino, CA 92423-1866

PO Box
Suite 833
Monroe, VA 24574

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Zelda Marie Verrett Marriage & Family Therapist CurrentSince May 1, 2020 Accepting new patients
A New Beginning Therapeutic Solutions Counseling Center PastSince Jan 15, 2023 Accepting new patients

Locations

1003 E Cooley Dr
Ste 207
Colton, CA 92324
Phone (909) 424-0274

473 S Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1304985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1649562513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "473 S CARNEGIE DR STE 200",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924084201",
            "telephone_number": "909-533-4585",
            "fax_number": "909-533-4590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "473 S CARNEGIE DR STE 200",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924084201",
            "telephone_number": "909-533-4585",
            "fax_number": "909-533-4590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERRETT",
        "first_name": "ZELDA",
        "middle_name": "MARIE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-10",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "111462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100143847",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

Verify at the official NPI Registry.