Active NPI
Regina Roxanne Marinello, LMFT
- Marriage & Family Therapist
- Riverside, CA
National Provider Identifier
1023620051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 121028
- Practice address
- 19321 Grove Community Dr
Riverside, CA 92508-8113 - Phone
- (951) 571-9096
- NPI assigned
- Aug 20, 2020
- 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 | 121028 | CA | Primary |
Addresses
Primary practice location
19321 Grove Community Dr
Riverside, CA 92508-8113
Mailing address
6426 Kettle Peak PL
Rancho Cucamonga, CA 91737-6510
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 |
|---|---|---|---|
| 121028 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597881600000",
"number": "1023620051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6426 KETTLE PEAK PL",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917376510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19321 GROVE COMMUNITY DR",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925088113",
"telephone_number": "951-571-9096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARINELLO",
"first_name": "REGINA",
"middle_name": "ROXANNE",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-20",
"last_updated": "2020-08-20",
"certification_date": "2020-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "121028",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.