MRS. MONICA POULSEN
NPI 1770918658
Marriage & Family Therapist in San Bernardino, CA

Q: What is Monica Poulsen's NPI number?

The NPI number for Monica Poulsen is 1770918658. It was assigned to this individual provider in the NPPES registry on September 10, 2013.

Q: What is Monica Poulsen'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 Monica Poulsen was last updated on September 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 September 10, 2013PECOS Enrolled

780 E GILBERT ST, SAN BERNARDINO, CA 92415(909) 763-4760(909) 763-4771 Get Directions Write a Review

NPPES record last updated: September 10, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Monica Poulsen NPPES

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

MRS. MONICA POULSEN (NPI 1770918658) is an individual marriage & family therapist in San Bernardino, California, licensed in California (IMF70946) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1770918658

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMRS. MONICA POULSEN

Location Address780 E GILBERT STSan Bernardino, CA 92415-1003

Mailing Address780 E Gilbert StSan Bernardino, CA 92415-1003 · (909) 763-4760 · Fax (909) 763-4771

Phone(909) 763-4760

Fax(909) 763-4771

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateSeptember 10, 2013

✔ NPI 1770918658 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 · IMF70946

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.

780 E GILBERT ST, San Bernardino, CA 92415

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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)

Mrs. Monica Poulsen is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5799281168

PECOS Enrollment IDI20251003002324

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.

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