Individual provider Active NPI

Sylvia Reed-Drake, LMFT

  • Marriage & Family Therapist
  • San Bernardino, CA
National Provider Identifier
1972857233
Registry record updated Oct 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT111650 Issued in CA
Practice address
621 East Carnegie Drive Suite 210
San Bernardino, CA 92415-1323
Phone
(909) 386-9760
NPI assigned
Nov 7, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 71923 CA
Case Manager/Care Coordinator 171M00000X
Marriage & Family Therapist 106H00000X LMFT111650 CA Primary

Addresses

Primary practice location

621 East Carnegie Drive Suite 210
San Bernardino, CA 92415-1323

Mailing address

PO Box 849
Orange, CA 92856-6849
Phone (714) 639-5546

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

State licenses

LicenseStateTypeSpecialty
71923CAMDMarriage & Family Therapist
LMFT111650CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Touchstones Marriage & Family Therapist Past Accepting new patients
Touchstones Marriage & Family Therapist Past Accepting new patients

Organizations & group practices 2

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": "1352246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570665600000",
    "number": "1972857233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 849",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928566849",
            "telephone_number": "714-639-5546",
            "fax_number": "714-639-5037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 EAST CARNEGIE DRIVE SUITE 210",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924151323",
            "telephone_number": "909-386-9760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED-DRAKE",
        "first_name": "SYLVIA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-07",
        "last_updated": "2019-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "71923",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT111650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2019; 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.