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EMMAUS ROAD CHRISTIAN COUNSELING
NPI 1770008153
Marriage & Family Therapist in San Dimas, CA

Active since August 07, 2017
1111 W COVINA BLVD STE 120A, SAN DIMAS, CA 91773 Get Directions Write a Review

NPPES record last updated: August 7, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Emmaus Road Christian Counseling NPPES

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

EMMAUS ROAD CHRISTIAN COUNSELING (NPI 1770008153) is a healthcare organization registered as a marriage & family therapist in San Dimas, California and active in the NPI registry since August 2017. The organization lists Amanda Hansen, Program Director, as its authorized official.

NPPES Registry Identity

NPI1770008153
Entity TypeOrganization
Primary Taxonomy106H00000X
Legal Business NameEMMAUS ROAD CHRISTIAN COUNSELING
Location Address1111 W COVINA BLVD STE 120ASan Dimas, CA 91773-3205
Mailing Address1111 W Covina Blvd Ste 120aSan Dimas, CA 91773-3205 · 19099793722
Phone19099793722
Organization SubpartNo
Authorized OfficialAmanda HansenProgram Director · (909) 979-3722
Enumeration DateAugust 7, 2017
✔ NPI 1770008153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
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.
1111 W COVINA BLVD STE 120A, San Dimas, CA 91773
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emmaus Road Christian Counseling is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Emmaus Road Christian Counseling, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Jana Plant, M.A.
Marriage and Family Therapist
NPI 1861523383
1111 W COVINA BLVD STE 120A
San Dimas, CA 91773
(909) 979-3722
✔ PECOS✔ Accepts MedicareSame address
Katheryn De Arakal
Marriage and Family Therapist
NPI 1154887859
595 E COLORADO BLVD STE 612
Pasadena, CA 91101
(626) 415-7131
✔ PECOS18 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Emmaus Road Christian Counseling's NPI number?

The NPI number for Emmaus Road Christian Counseling is 1770008153. It was assigned to this organization in the NPPES registry on August 7, 2017.

Where is Emmaus Road Christian Counseling located?

Emmaus Road Christian Counseling is located at 1111 W Covina Blvd Ste 120A, San Dimas, CA 91773. The listed phone number is (909) 979-3722.

What is Emmaus Road Christian Counseling's specialty?

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

Is Emmaus Road Christian Counseling enrolled in Medicare?

Yes. Emmaus Road Christian Counseling is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Emmaus Road Christian Counseling?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Marriage and Family Therapist, reassign their Medicare billing to Emmaus Road Christian Counseling. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Emmaus Road Christian Counseling was last updated on August 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.