Individual provider Active NPI

Amita Cloke, LPCC

  • Professional Counselor
  • Rancho Cucamonga, CA
National Provider Identifier
1659786309
Registry record updated May 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPCC320 Issued in CA
Practice address
10722 Arrow Rte
Suite 314
Rancho Cucamonga, CA 91730-4808
Phone
(951) 300-3507
NPI assigned
Jun 20, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2015

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LPCC320 CA
Mental Health Counselor 101YM0800X LPCC320 CA
Professional Counselor 101YP2500X LPCC320 CA Primary
School Counselor 101YS0200X LEP3161 CA

Addresses

Primary practice location

10722 Arrow Rte
Suite 314
Rancho Cucamonga, CA 91730-4808

Mailing address

8031 Ralston PL
Riverside, CA 92508-6127
Phone (951) 300-3507

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
LPCC320CAMDMental Health Counselor
LEP3161CAMDSchool Counselor

NPI Registry JSON

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

{
    "created_epoch": "1403222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432252800000",
    "number": "1659786309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8031 RALSTON PL",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925086127",
            "telephone_number": "951-300-3507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10722 ARROW RTE",
            "address_2": "SUITE 314",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304808",
            "telephone_number": "951-300-3507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOKE",
        "first_name": "AMITA",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-20",
        "last_updated": "2015-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "LPCC320",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LPCC320",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "LPCC320",
            "primary": true
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "CA",
            "license": "LEP3161",
            "primary": false
        }
    ],
    "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 May 22, 2015; 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.