KERRI SUE WADE LMFT
NPI 1407520653
Marriage & Family Therapist in Rialto, CA

Q: What is Kerri Wade's NPI number?

The NPI number for Kerri Wade is 1407520653. It was assigned to this individual provider in the NPPES registry on August 2, 2021.

Q: What is Kerri Wade's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Kerri Wade was last updated on August 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 02, 2021PECOS Enrolled

850 E FOOTHILL BLVD, RIALTO, CA 92376(909) 421-9479(909) 421-9293 Get Directions Write a Review

NPPES record last updated: August 2, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kerri Sue Wade Lmft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KERRI SUE WADE LMFT (NPI 1407520653) is an individual marriage & family therapist in Rialto, California, licensed in California (116146) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1407520653

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameKERRI SUE WADECredential: LMFT

Location Address850 E FOOTHILL BLVDRialto, CA 92376-5230

Mailing Address850 E Foothill BlvdRialto, CA 92376-5230 · (909) 421-9479 · Fax (909) 421-9293

Phone(909) 421-9479

Fax(909) 421-9293

Sole ProprietorYes

Medical School CMSOtherGraduated 2007

Enumeration DateAugust 2, 2021

NPPES CertifiedAugust 2, 2021

✔ NPI 1407520653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 116146

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

850 E FOOTHILL BLVD, Rialto, CA 92376

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kerri Sue Wade Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8325544620

PECOS Enrollment IDI20251006000609

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROSE VERSACE MFT

Marriage & Family Therapist