DTW Marriage Family Child Counseling Services Inc.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

DTW MARRIAGE FAMILY CHILD COUNSELING SERVICES INC.

Practice address

9431 Haven Ave Ste 128
Rancho Cucamonga, CA 91730-5881

Phone

(951) 330-5898

NPI assigned

Feb 11, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Delsa Tapia Wilson, MSNPI 1508011404

Title

Owner

Phone

(951) 330-5898

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Delsa Tapia Wilson

  • Marriage & Family Therapist
  • Riverside, CA
  • NPI 1508011404
  NPD Authorized official

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

{
    "created_epoch": "1644537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644537600000",
    "number": "1700530375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9431 HAVEN AVE STE 128",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917305881",
            "telephone_number": "951-330-5898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9431 HAVEN AVE STE 128",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917305881",
            "telephone_number": "951-330-5898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DTW MARRIAGE FAMILY CHILD COUNSELING SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-11",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "DELSA",
        "authorized_official_middle_name": "TAPIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-330-5898",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; 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.