Active NPI
Michelle Gasper Professional Clinical Counselor Canvas Counseling Cent
Doing business as Canvas Counseling Center
- Marriage & Family Therapist
- Chino, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Legal business name
- MICHELLE GASPER PROFESSIONAL CLINICAL COUNSELOR CANVAS COUNSELING CENT
- Doing business as
- Canvas Counseling Center
- Practice address
- 4091 Riverside Dr Ste 103
Chino, CA 91710-3195 - Phone
- (909) 654-8079
- Fax
- (909) 774-0142
- NPI assigned
- May 11, 2023
- Last updated
- Jan 23, 2025
- 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
- Michelle J Gasper, LMFT LPCC
- Title
- Ceo, Therapist
- Phone
- (909) 240-0419
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | NU | ||
| Marriage & Family Therapist | 106H00000X | NU | Primary | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NU |
Addresses
Primary practice location
4091 Riverside Dr Ste 103
Chino, CA 91710-3195
Mailing address
4091 Riverside Dr Ste 103
Chino, CA 91710-3195
Phone (909) 654-8079
Other names 1
- Canvas Counseling Center
National Provider Directory
National Provider DirectoryLocations
4091 Riverside Dr
Ste 103
Chino, CA 91710
Phone (909) 654-8079
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Marriage & Family Therapist
- Chino, CA
- NPI 1265080964
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683763200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1737590400000",
"number": "1891485868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4091 RIVERSIDE DR STE 103",
"city": "CHINO",
"state": "CA",
"postal_code": "917103195",
"telephone_number": "909-654-8079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4091 RIVERSIDE DR STE 103",
"city": "CHINO",
"state": "CA",
"postal_code": "917103195",
"telephone_number": "909-654-8079",
"fax_number": "909-774-0142"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHELLE GASPER PROFESSIONAL CLINICAL COUNSELOR CANVAS COUNSELING CENT",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-11",
"last_updated": "2025-01-23",
"certification_date": "2025-01-23",
"status": "A",
"authorized_official_last_name": "GASPER",
"authorized_official_first_name": "MICHELLE",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "CEO, THERAPIST",
"authorized_official_telephone_number": "909-240-0419",
"authorized_official_credential": "LMFT LPCC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Canvas Counseling Center",
"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 Jan 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.