Active NPI
Allison Marcus, LMFT
- Marriage & Family Therapist
- Fontana, CA
National Provider Identifier
1710367289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 127347
- Practice address
- 15218 Summit Ave # 300-322
Fontana, CA 92336-0232 - Phone
- (909) 677-0712
- NPI assigned
- May 31, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 127347 | CA | Primary |
| Mental Health Counselor | 101YM0800X | IMF96616 | CA |
Addresses
Primary practice location
15218 Summit Ave # 300-322
Fontana, CA 92336-0232
Mailing address
15218 Summit Ave # 300-322
Fontana, CA 92336-0232
Phone (909) 677-0712
Other practice location 1
2990 Inland Empire Blvd
Ontario, CA 91764-4899
Phone (626) 254-5000
Other practice location 2
9680 Citrus Ave Bldg 28
Fontana, CA 92335-5571
Phone (909) 677-0712
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
| License | State | Type | Specialty |
|---|---|---|---|
| IMF96616 | CA | MD | Mental Health Counselor |
| 127347 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724112000000",
"number": "1710367289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15218 SUMMIT AVE # 300-322",
"city": "FONTANA",
"state": "CA",
"postal_code": "923360232",
"telephone_number": "909-677-0712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15218 SUMMIT AVE # 300-322",
"city": "FONTANA",
"state": "CA",
"postal_code": "923360232",
"telephone_number": "909-677-0712"
}
],
"practiceLocations": [
{
"address_1": "2990 Inland Empire Blvd",
"address_purpose": "LOCATION",
"city": "Ontario",
"state": "CA",
"postal_code": "917644899",
"country_code": "US",
"telephone_number": "626-254-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9680 Citrus Ave Bldg 28",
"address_purpose": "LOCATION",
"city": "Fontana",
"state": "CA",
"postal_code": "923355571",
"country_code": "US",
"telephone_number": "909-677-0712",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARCUS",
"first_name": "ALLISON",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-31",
"last_updated": "2024-08-20",
"certification_date": "2024-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "127347",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "IMF96616",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fontana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.