Organization Active NPI

Theresa L. Harris

  • Marriage & Family Therapist
  • Chino, CA
National Provider Identifier
1851478960
Registry record updated May 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC39896 Issued in CA
Legal business name
THERESA L. HARRIS
Practice address
12540 10TH St
Suite C
Chino, CA 91710-3503
Phone
(909) 902-1868
Fax
(909) 902-1868
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2009

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

Authorized official

Name
Ms. Theresa Lynette Harris, M. S.
Title
Marriage and Family Therapist
Phone
(909) 902-1868

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X MFC39896 CA Primary

Addresses

Primary practice location

12540 10TH St
Suite C
Chino, CA 91710-3503

Mailing address

PO Box 27633
Anaheim, CA 92809-0121
Phone (909) 902-1868

Other names 1

  • Mindful Living Counseling Service Doing business as

National Provider Directory

National Provider Directory

Locations

12540 10th St
Ste C
Chino, CA 91710
Phone (909) 576-3889

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": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243641600000",
    "number": "1851478960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27633",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928090121",
            "telephone_number": "909-902-1868",
            "fax_number": "909-902-1868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12540 10TH ST",
            "address_2": "SUITE C",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917103503",
            "telephone_number": "909-902-1868",
            "fax_number": "909-902-1868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERESA L. HARRIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2009-05-30",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "LYNETTE",
        "authorized_official_title_or_position": "MARRIAGE AND FAMILY THERAPIST",
        "authorized_official_telephone_number": "909-902-1868",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M. S."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC39896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mindful Living Counseling Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2009; 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.