Active NPI
Lizbeth Hogue
- Marriage & Family Therapist
- Victorville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 108768
- Practice address
- 15447 Anacapa Rd Ste 200
Victorville, CA 92392 - Phone
- (909) 749-2754
- NPI assigned
- Dec 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 108768 | CA | Primary |
Addresses
Primary practice location
15447 Anacapa Rd Ste 200
Victorville, CA 92392
Mailing address
15447 Anacapa Rd Ste 200
Victorville, CA 92392-2490
Phone (909) 749-2754
Other practice location 1
572 N Arrowhead Ave
572 N Arrowhead Ave
San Bernardino, CA 92401-1251
Phone (909) 677-7601
Other practice location 2
1661 N E St
San Bernardino, CA 92405
Phone (909) 886-6737
Other practice location 3
1661 N E St
San Bernardino, CA 92405
Phone (909) 886-6737
Other practice location 4
1661 N E St
San Bernardino, CA 92405
Phone (909) 886-6737
Other practice location 5
1661 N E St
San Bernardino, CA 92405
Phone (909) 886-6737
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013071570 | Medicaid | CA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | pinkroseflowers36@gmail.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 108768 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Heart Family Therapy, Inc. | Current | Accepting new patients | |
| Family Service Agency of Fontana | Past | Accepting new patients | |
| Family Service Agency of San Bernardino | Past | Accepting new patients |
Locations
13819 Amargosa Rd
Ste 4
Victorville, CA 92392
Phone (760) 951-2581
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Victorville, CA
- NPI 1609472646
-
- Community/Behavioral Health Agency
- San Bernardino, CA
- NPI 1194971820
-
- Community/Behavioral Health Agency
- San Bernardino, CA
- NPI 1437313624
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571961600000",
"number": "1013071570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15447 ANACAPA RD STE 200",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923922490",
"telephone_number": "909-749-2754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15447 ANACAPA RD STE 200",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "92392",
"telephone_number": "909-749-2754"
}
],
"practiceLocations": [
{
"address_1": "572 N Arrowhead Ave",
"address_2": "572 N Arrowhead Ave",
"address_purpose": "LOCATION",
"city": "San Bernardino",
"state": "CA",
"postal_code": "924011251",
"country_code": "US",
"telephone_number": "909-677-7601",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1661 N E St",
"address_purpose": "LOCATION",
"city": "San Bernardino",
"state": "CA",
"postal_code": "92405",
"country_code": "US",
"telephone_number": "909-886-6737",
"fax_number": "909-881-3871",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1661 N E St",
"address_purpose": "LOCATION",
"city": "San Bernardino",
"state": "CA",
"postal_code": "92405",
"country_code": "US",
"telephone_number": "909-886-6737",
"fax_number": "909-881-3871",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1661 N E St",
"address_purpose": "LOCATION",
"city": "San Bernardino",
"state": "CA",
"postal_code": "92405",
"country_code": "US",
"telephone_number": "909-886-6737",
"fax_number": "909-881-3871",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1661 N E St",
"address_purpose": "LOCATION",
"city": "San Bernardino",
"state": "CA",
"postal_code": "92405",
"country_code": "US",
"telephone_number": "909-886-6737",
"fax_number": "909-881-3871",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOGUE",
"first_name": "LIZBETH",
"name_prefix": "Miss",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-20",
"last_updated": "2019-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "108768",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1013071570",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "pinkroseflowers36@gmail.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "15447 Anacapa Rd Ste 200",
"city": "Victorville",
"state": "CA",
"country_code": "US",
"postal_code": "92392",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Victorville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.