Active NPI
Carol D. Decew, MS
- Marriage & Family Therapist
- Montclair, CA
National Provider Identifier
1760661748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 79778
- Practice address
- PO Box 210
Montclair, CA 91763-0210 - Phone
- (714) 423-2485
- NPI assigned
- Oct 26, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 79778 | CA | Primary |
| Mental Health Counselor | 101YM0800X | 74212 | CA |
Addresses
Primary practice location
PO Box 210
Montclair, CA 91763-0210
Mailing address
PO Box 210
Montclair, CA 91763-0210
Phone (714) 432-2485
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 74212 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forward Wellness Family Therapy, Inc. | Current | Accepting new patients | |
| County of San Bernardino | Past | Accepting new patients |
Locations
1041 E Yorba Linda Blvd
Ste 202
Placentia, CA 92870
Phone (714) 579-0717
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Placentia, CA
- NPI 1093398059
-
- Substance Use Disorder Rehabilitation Clinic/Center
- San Bernardino, CA
- NPI 1184105488
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741651200000",
"number": "1760661748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 210",
"city": "MONTCLAIR",
"state": "CA",
"postal_code": "917630210",
"telephone_number": "714-432-2485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 210",
"city": "MONTCLAIR",
"state": "CA",
"postal_code": "917630210",
"telephone_number": "714-423-2485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DECEW",
"first_name": "CAROL",
"middle_name": "D.",
"name_prefix": "Mrs.",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-26",
"last_updated": "2025-03-11",
"certification_date": "2025-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "79778",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "74212",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montclair, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.