Individual provider Active NPI

Desiree McLaughlin, LMFT 105097

  • Marriage & Family Therapist
  • Perris, CA
National Provider Identifier
1023431939
Registry record updated Apr 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
555 N Perris Blvd
Perris, CA 92571-2811
Phone
(951) 436-5366
NPI assigned
Jan 28, 2014
Last updated
Apr 26, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

555 N Perris Blvd
Perris, CA 92571-2811

Mailing address

555 N Perris Blvd
Perris, CA 92571-2811
Phone (951) 436-5366

Other practice location 1

555 Technology Ct
Riverside, CA 92507-2155
Phone (951) 686-8500 ext. 1419

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250124002901 CA Practitioner - Marriage and Family Therapist 2961931670 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4740 Green River Rd
Suite 206a
Corona, CA 92878-9434
Phone (951) 212-3184

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
105097CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Jessica Perez Licensed Professional Clinical Counselor Inc CurrentSince Jan 21, 2025 Accepting new patients

Locations

4740 Green River Rd
Ste 206A
Corona, CA 92878
Phone (909) 835-9366

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1390867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556236800000",
    "number": "1023431939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 N PERRIS BLVD",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925712811",
            "telephone_number": "951-436-5366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 N PERRIS BLVD",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925712811",
            "telephone_number": "951-436-5366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "555 Technology Ct",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925072155",
            "country_code": "US",
            "telephone_number": "951-686-8500 x1419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCLAUGHLIN",
        "first_name": "DESIREE",
        "credential": "LMFT 105097",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-28",
        "last_updated": "2019-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perris, CA

Sources for this page

Verify at the official NPI Registry.