Individual provider Active NPI

Erica Plata

  • Marriage & Family Therapist
  • Rancho Cucamonga, CA
National Provider Identifier
1942401880
Registry record updated May 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
74799 Issued in CA
Practice address
9047 Arrow Rte Ste 170
Rancho Cucamonga, CA 91730-4434
Phone
(909) 466-8696
Fax
(909) 948-0457
NPI assigned
May 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2013

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 74799 CA Primary

Addresses

Primary practice location

9047 Arrow Rte Ste 170
Rancho Cucamonga, CA 91730-4434

Mailing address

466 E Columbia Ave
Pomona, CA 91767-4026

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
I20240226001989 CA Practitioner - Marriage and Family Therapist 5092150433 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
74799CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wise Mind Counseling Services Inc. Marriage & Family Therapist CurrentSince Feb 12, 2024 Accepting new patients

Locations

11801 Pierce St
Ste 200
Riverside, CA 92505
Phone (323) 547-2662

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369872000000",
    "number": "1942401880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "466 E COLUMBIA AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917674026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9047 ARROW RTE STE 170",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304434",
            "telephone_number": "909-466-8696",
            "fax_number": "909-948-0457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLATA",
        "first_name": "ERICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-29",
        "last_updated": "2013-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "74799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

Verify at the official NPI Registry.