Individual provider Active NPI

Marsha C. Porshin, LMFT

  • Marriage & Family Therapist
  • Rancho Cucamonga, CA
National Provider Identifier
1679779425
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT21761 Issued in CA
Practice address
10832 Laurel St.
Suite 102
Rancho Cucamonga, CA 91730-7688
Phone
(909) 987-1997
Fax
(909) 987-0993
NPI assigned
Jun 26, 2007
Last updated
Jan 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC 21761 CA
Marriage & Family Therapist 106H00000X LMFT21761 CA Primary

Addresses

Primary practice location

10832 Laurel St.
Suite 102
Rancho Cucamonga, CA 91730-7688

Mailing address

10832 Laurel St
Suite 102
Rancho Cucamonga, CA 91730-7688
Phone (909) 987-1997

Other practice location 1

9033 Baseline Rd
Suite H
Rancho Cucamonga, CA 91730-1255
Phone (909) 989-9030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMFT21761CAMDMarriage & Family Therapist
MFC 21761CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1679779425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10832 LAUREL ST",
            "address_2": "SUITE 102",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917307688",
            "telephone_number": "909-987-1997",
            "fax_number": "909-987-0993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10832 LAUREL ST.",
            "address_2": "SUITE 102",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917307688",
            "telephone_number": "909-987-1997",
            "fax_number": "909-987-0993"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9033 Baseline Rd",
            "address_2": "Suite H",
            "address_purpose": "LOCATION",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "917301255",
            "country_code": "US",
            "telephone_number": "909-989-9030",
            "fax_number": "909-466-4594",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORSHIN",
        "first_name": "MARSHA",
        "middle_name": "C.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-26",
        "last_updated": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 21761",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT21761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

Verify at the official NPI Registry.