Individual provider Active NPI

Louis Battistone, M.A., L.M.F.T., CATC

  • Marriage & Family Therapist
  • Rancho Cucamonga, CA
National Provider Identifier
1871703793
Registry record updated Aug 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT45786 Issued in CA
Practice address
11777 Sebastian Way Ste 102B
Suite 204
Rancho Cucamonga, CA 91730-0707
Phone
(909) 989-9724
Fax
(909) 989-0249
NPI assigned
May 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT45786 CA Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X CATCT B0504111305 CA

Addresses

Primary practice location

11777 Sebastian Way Ste 102B
Suite 204
Rancho Cucamonga, CA 91730-0707

Mailing address

11777 Sebastian Way Ste 102B
Suite 204
Rancho Cucamonga, CA 91730-5729
Phone (909) 989-9724

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
CATCT B0504111305CAMDAddiction (Substance Use Disorder) Counselor
LMFT45786CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439510400000",
    "number": "1871703793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11777 SEBASTIAN WAY STE 102B",
            "address_2": "SUITE 204",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917305729",
            "telephone_number": "909-989-9724",
            "fax_number": "909-989-0249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11777 SEBASTIAN WAY STE 102B",
            "address_2": "SUITE 204",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917300707",
            "telephone_number": "909-989-9724",
            "fax_number": "909-989-0249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATTISTONE",
        "first_name": "LOUIS",
        "credential": "M.A., L.M.F.T., CATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2015-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT45786",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "CATCT B0504111305",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2015; 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.