Organization Active NPI

San Dimas Counseling, LLC

  • Marriage & Family Therapist
  • San Dimas, CA
National Provider Identifier
1790187144
Registry record updated Sep 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC47621 Issued in CA
Legal business name
SAN DIMAS COUNSELING, LLC
Practice address
100 W. Foothill BL.
Suite 101
San Dimas, CA 91773
Phone
(626) 644-1661
Fax
(909) 912-8990
NPI assigned
Sep 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2014

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

Authorized official

Name
Ms. April PrattNPI 1508164344
Title
Member/President
Phone
(626) 664-1661

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: 193400000X SINGLE SPECIALTY GROUP 106H00000X MFC47621 CA Primary

Addresses

Primary practice location

100 W. Foothill BL.
Suite 101
San Dimas, CA 91773

Mailing address

P.O. Box 282
San Dimas, CA 91773
Phone (626) 664-1661

National Provider Directory

National Provider Directory

Locations

100 W Foothill Blvd
Ste 101
San Dimas, CA 91773
Phone (626) 484-9043

Practitioners & affiliated clinicians

Practitioners 1

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": "1410912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410912000000",
    "number": "1790187144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 282",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "91773",
            "telephone_number": "626-664-1661",
            "fax_number": "909-912-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W. FOOTHILL BL.",
            "address_2": "SUITE 101",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "91773",
            "telephone_number": "626-644-1661",
            "fax_number": "909-912-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN DIMAS COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-17",
        "last_updated": "2014-09-17",
        "status": "A",
        "authorized_official_last_name": "PRATT",
        "authorized_official_first_name": "APRIL",
        "authorized_official_title_or_position": "MEMBER/PRESIDENT",
        "authorized_official_telephone_number": "626-664-1661",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC47621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Dimas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; 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.