Charolette Debra Lewis, PH.D. LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC19574 Issued in CA

Practice address

1647 E Holt Blvd
Ontario, CA 91761-2107

Phone

(909) 458-9628

Fax

(909) 458-9750

NPI assigned

Feb 6, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• County of San Bernardino

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Apple Valley, CA
  • NPI 1346950904
  NPD (past)

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350864000000",
    "number": "1912047580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 337",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923540337",
            "telephone_number": "909-644-8482",
            "fax_number": "909-458-9750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1647 E HOLT BLVD",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917612107",
            "telephone_number": "909-458-9628",
            "fax_number": "909-458-9750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "CHAROLETTE",
        "middle_name": "DEBRA",
        "name_prefix": "Dr.",
        "credential": "PH.D. LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2012-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC19574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Leudo
• Jennifer Levia
• Carissa Lewallen, ATC
• Dannyell Nicole Lewis-Montle
• Brittney Lewis
• Curmari Lewis
• Heather A. Lewis, P.T.
• Kayla M Lewis
• Melissa Lewis
• Michael Lewis

• Marriage & Family Therapist in Ontario, CA
• Providers in Ontario, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; 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.