MRS. SUSAN LYNN PAVONE L.M.F.T.
NPI 1407992456
Marriage & Family Therapist in Rancho Cucamonga, CA

Q: What is Susan Pavone's NPI number?

The NPI number for Susan Pavone is 1407992456. It was assigned to this individual provider in the NPPES registry on January 29, 2007.

Q: What is Susan Pavone'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 Susan Pavone was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 January 29, 2007PECOS EnrolledAccepts Medicare Assignment

8253 WHITE OAK AVE, RANCHO CUCAMONGA, CA 91730(909) 987-1997(909) 987-0993 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Susan Lynn Pavone L.m.f.t. NPPES

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

MRS. SUSAN LYNN PAVONE L.M.F.T. (NPI 1407992456) is an individual marriage & family therapist in Rancho Cucamonga, California, licensed in California (MFC24231) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1984).

NPPES Registry Identity

NPI1407992456

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMRS. SUSAN LYNN PAVONECredential: L.M.F.T.

Location Address8253 WHITE OAK AVERancho Cucamonga, CA 91730-7671

Mailing Address6644 Ventura PlAlta Loma, CA 91701-4406

Phone(909) 987-1997

Fax(909) 987-0993

Sole ProprietorYes

Medical School CMSOtherGraduated 1984

Enumeration DateJanuary 29, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1407992456 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 · MFC24231

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.

8253 WHITE OAK AVE, Rancho Cucamonga, CA 91730

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Susan Lynn Pavone L.m.f.t. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8022457449

PECOS Enrollment IDI20240418001921

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.

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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.

ONE ASTERISK CONSULTING, INC

Community/Behavioral Health