Individual provider Active NPI

Arilenne Bautista

  • Marriage & Family Therapist
  • Richmond, CA
National Provider Identifier
1063159549
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
142154 Issued in CA
Practice address
1108 Bissell Ave
Richmond, CA 94801-3135
Phone
(510) 307-4589
NPI assigned
May 17, 2022
Last updated
Mar 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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 142154 CA Primary

Addresses

Primary practice location

1108 Bissell Ave
Richmond, CA 94801-3135

Mailing address

2844 Gaynor Ave
Richmond, CA 94804-1360
Phone (510) 672-5764

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

LicenseStateTypeSpecialty
142154CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Desarrollo Familiar, Inc CurrentSince Sep 14, 2025 Accepting new patients
Desarrollo Familiar PastSince May 22, 2022 Accepting new patients

Locations

205 39th St
Richmond, CA 94805
Phone (510) 412-5930

Organizations & group practices 2

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": "1652745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1063159549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2844 GAYNOR AVE",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948041360",
            "telephone_number": "510-672-5764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 BISSELL AVE",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948013135",
            "telephone_number": "510-307-4589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUTISTA",
        "first_name": "ARILENNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-17",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "142154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.