NPIMap

Organization Active NPI

Milestone Marriage and Family Therapy Services Professional Corporati

  • Marriage & Family Therapist
  • Ontario, CA
National Provider Identifier
1689275810
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
MILESTONE MARRIAGE AND FAMILY THERAPY SERVICES PROFESSIONAL CORPORATI
Practice address
3491 Concours Ste 202
Ontario, CA 91764-5927
Phone
(909) 284-4504
Fax
(909) 259-1428
NPI assigned
Nov 4, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2023

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

Authorized official

Name
Dr. Leslie A. Miles, LMFTNPI 1396068938
Title
Ceo/Owner
Phone
(909) 284-4504

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

3491 Concours Ste 202
Ontario, CA 91764-5927

Mailing address

3491 Concours Ste 202
Ontario, CA 91764-5927
Phone (909) 284-4504

National Provider Directory

National Provider Directory

Locations

3491 Concours
Ste 202
Ontario, CA 91764
Phone (909) 284-4504

10601 Civic Center Dr
Ste 100AD
Rancho Cucamonga, CA 91730

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1604448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682985600000",
    "number": "1689275810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3491 CONCOURS STE 202",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917645927",
            "telephone_number": "909-284-4504",
            "fax_number": "909-259-1428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3491 CONCOURS STE 202",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917645927",
            "telephone_number": "909-284-4504",
            "fax_number": "909-259-1428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILESTONE MARRIAGE AND FAMILY THERAPY SERVICES PROFESSIONAL CORPORATI",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-04",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A",
        "authorized_official_last_name": "MILES",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "909-284-4504",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; 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.