Active NPI
Theresa L. Harris
- Marriage & Family Therapist
- Chino, CA
National Provider Identifier
1851478960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC39896
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Marriage & Family Therapist
- Chino, CA
- NPI 1467673319
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.