Active NPI
Mariana Venessa Contreras-Bland
- Marriage & Family Therapist
- San Bernardino, CA
National Provider Identifier
1770032229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 116225
- Practice address
- 460 S Stoddard Ave
San Bernardino, CA 92401-2001 - Phone
- (909) 882-7978
- Fax
- (909) 882-1282
- NPI assigned
- Sep 26, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 116225 | CA | Primary |
Addresses
Primary practice location
460 S Stoddard Ave
San Bernardino, CA 92401-2001
Mailing address
460 S Stoddard Ave
San Bernardino, CA 92401-2001
Phone (909) 882-7978
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 |
|---|---|---|---|
| 116225 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576108800000",
"number": "1770032229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "460 S STODDARD AVE",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924012001",
"telephone_number": "909-882-7978",
"fax_number": "909-882-1282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "460 S STODDARD AVE",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924012001",
"telephone_number": "909-882-7978",
"fax_number": "909-882-1282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONTRERAS-BLAND",
"first_name": "MARIANA",
"middle_name": "VENESSA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-26",
"last_updated": "2019-12-12",
"certification_date": "2019-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "116225",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.