Individual provider Active NPI

Susan L. Hilliard, MFT

  • Marriage & Family Therapist
  • Upland, CA
National Provider Identifier
1922289115
Registry record updated Nov 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 33342 Issued in CA
Practice address
288 W 9TH St
Upland, CA 91786-5949
Phone
(909) 981-0270
Fax
(909) 981-3585
NPI assigned
Nov 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC 33342 CA Primary

Addresses

Primary practice location

288 W 9TH St
Upland, CA 91786-5949

Mailing address

288 W 9TH St
Upland, CA 91786-5949
Phone (909) 981-0270

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241107000697 CA Practitioner - Marriage and Family Therapist 8729512298 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rosewood Counseling Center IncGroup PAC ID 8426597303, 6 clinicians

Practice addresses (Care Compare)

288 W 9TH St
Upland, CA 91786-5949
Phone (909) 981-0270

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFC 33342CAMDMarriage & Family Therapist
33342CAMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Rosewood Counseling Center, Inc. Marriage & Family Therapist CurrentSince Oct 10, 2024 Accepting new patients

Locations

288 W 9th St
Upland, CA 91786
Phone (909) 981-0270

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195171200000",
    "number": "1922289115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 W 9TH ST",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917865949",
            "telephone_number": "909-981-0270",
            "fax_number": "909-981-3585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 W 9TH ST",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917865949",
            "telephone_number": "909-981-0270",
            "fax_number": "909-981-3585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLIARD",
        "first_name": "SUSAN",
        "middle_name": "L.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-16",
        "last_updated": "2007-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 33342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

Verify at the official NPI Registry.