Individual provider Active NPI

Judith Benvenuto, LMFT

  • Marriage & Family Therapist
  • Tustin, CA
National Provider Identifier
1023495033
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
88175 Issued in CA
Practice address
250 El Camino Real Ste 213
Tustin, CA 92780-3656
Phone
(714) 393-1891
Fax
(714) 805-6519
NPI assigned
Apr 28, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 88175 CA Primary

Addresses

Primary practice location

250 El Camino Real Ste 213
Tustin, CA 92780-3656

Mailing address

250 El Camino Real Ste 213
Tustin, CA 92780-3656
Phone (714) 393-1891

Other practice location 1

18302 Irvine Blvd
Ste 300
Tustin, CA 92780-3435
Phone (714) 957-1004

Other practice location 2

540 N Golden Circle Dr Ste 312
Santa Ana, CA 92705-3926
Phone (714) 393-1891

Other names 1

  • Judy Benvenuto Other name

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
I20260220001626 CA Practitioner - Marriage and Family Therapist 5193206886 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1003 Alabaster CV
Sanford, FL 32771-3607

250 El Camino Real
Suite 213
Tustin, CA 92780-3656

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
88175CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Judy Benvenuto Marriage and Family Therapy Inc Mental Health CurrentSince Jan 7, 2026 Accepting new patients

Locations

250 El Camino Real
Ste 213
Tustin, CA 92780
Phone (714) 393-1891

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1430179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1023495033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 EL CAMINO REAL STE 213",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803656",
            "telephone_number": "714-393-1891",
            "fax_number": "714-805-6519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 EL CAMINO REAL STE 213",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803656",
            "telephone_number": "714-393-1891",
            "fax_number": "714-805-6519"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18302 Irvine Blvd",
            "address_2": "Ste 300",
            "address_purpose": "LOCATION",
            "city": "Tustin",
            "state": "CA",
            "postal_code": "927803435",
            "country_code": "US",
            "telephone_number": "714-957-1004",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "540 N Golden Circle Dr Ste 312",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927053926",
            "country_code": "US",
            "telephone_number": "714-393-1891",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENVENUTO",
        "first_name": "JUDITH",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-28",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "88175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUDY",
            "last_name": "BENVENUTO",
            "credential": "LMFT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tustin, CA

Sources for this page

Verify at the official NPI Registry.