Active NPI
Esbeide Garcia-Mondragon
- Mental Health Counselor
- Menifee, CA
National Provider Identifier
1053690743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 27851 Bradley Rd Ste 102
Menifee, CA 92586-2213 - Phone
- (951) 297-7714
- Fax
- (351) 386-3339
- NPI assigned
- Aug 11, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 87578 | CA | |
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
27851 Bradley Rd Ste 102
Menifee, CA 92586-2213
Mailing address
27851 Bradley Rd Ste 102
Menifee, CA 92586-2213
Phone (951) 297-7714
Other practice location 1
256 Cajon St Ste E
Redlands, CA 92373
Phone (951) 297-7714
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 |
|---|---|---|---|
| 87578 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bienestar Therapy & Wellness Licensed Clinical Social Worker | Clinical | Current | Accepting new patients |
Locations
27851 Bradley Rd
Ste 102
Sun City, CA 92586
Phone (951) 297-7714
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.
-
- Clinical Social Worker
- Menifee, CA
- NPI 1447995618
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713916800000",
"number": "1053690743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27851 BRADLEY RD STE 102",
"city": "MENIFEE",
"state": "CA",
"postal_code": "925862213",
"telephone_number": "951-297-7714",
"fax_number": "951-386-3339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27851 BRADLEY RD STE 102",
"city": "MENIFEE",
"state": "CA",
"postal_code": "925862213",
"telephone_number": "951-297-7714",
"fax_number": "351-386-3339"
}
],
"practiceLocations": [
{
"address_1": "256 Cajon St Ste E",
"address_purpose": "LOCATION",
"city": "Redlands",
"state": "CA",
"postal_code": "92373",
"country_code": "US",
"telephone_number": "951-297-7714",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARCIA-MONDRAGON",
"first_name": "ESBEIDE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-11",
"last_updated": "2024-04-24",
"certification_date": "2024-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "87578",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Menifee, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.