Individual provider Active NPI

Sheila Garrett Gutierrez, LMFT

  • Marriage & Family Therapist
  • Glendora, CA
National Provider Identifier
1831200708
Registry record updated Dec 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT29055 Issued in CA
Practice address
150 E Meda Ave Ste 110
Glendora, CA 91741-2607
Phone
(626) 963-1309
Fax
(626) 335-6670
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFT29055 CA Primary

Addresses

Primary practice location

150 E Meda Ave Ste 110
Glendora, CA 91741-2607

Mailing address

150 E Meda Ave Ste 110
Glendora, CA 91741-2607
Phone (626) 963-1309

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240415003151 CA Practitioner - Marriage and Family Therapist 2163861816 Practice locations: Glendora, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

150 E Meda Ave
Suite 110
Glendora, CA 91741-2607
Phone (626) 963-1309

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFT29055CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cherry Professional Services Inc PastSince Jan 12, 2020 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545091200000",
    "number": "1831200708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 E MEDA AVE STE 110",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917412607",
            "telephone_number": "626-963-1309",
            "fax_number": "626-335-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E MEDA AVE STE 110",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917412607",
            "telephone_number": "626-963-1309",
            "fax_number": "626-335-6670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "SHEILA",
        "middle_name": "GARRETT",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2018-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT29055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendora, CA

Sources for this page

Verify at the official NPI Registry.