Lisa L Prieto, M.S.
Marriage & Family Therapist in San Bernardino, CA. Individual provider (NPI-1).
NPI number1487979019
StatusActive
Last updated in NPPESOct 22, 2018
Details
- NPI
- 1487979019
- Entity type
- Individual (NPI-1)
- Name
- Miss Lisa L Prieto
- Credential
- M.S.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 7, 2010
- Last updated
- Oct 22, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 110097 | CA | Yes |
| 106H00000X | Marriage & Family Therapist | – | – |
Practice location
1908 Business Center Dr Ste 220San Bernardino, CA 92408-3468
Phone 909-890-5930
Mailing address
1908 Business Center Dr Ste 220San Bernardino, CA 92408-3468
Phone 909-890-5930
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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