NPIMap

Organization Active NPI

Vanessa Villasenor Licensed Marriage and Family Therapist Inc

Doing business as A Place of Growth

  • Mental Health Counselor
  • San Diego, CA
National Provider Identifier
1083198782
Registry record updated Oct 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
VANESSA VILLASENOR LICENSED MARRIAGE AND FAMILY THERAPIST INC
Doing business as
A Place of Growth
Practice address
591 Camino de la Reina Ste 802
San Diego, CA 92108-3110
Phone
(858) 519-8002
Fax
(619) 684-3788
NPI assigned
Sep 18, 2018
Last updated
Oct 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2026

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

Authorized official

Name
Vanessa Danielle VillasenorNPI 1699020644
Title
Ceo
Phone
(858) 519-8002

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

591 Camino de la Reina Ste 802
San Diego, CA 92108-3110

Mailing address

591 Camino de la Reina Ste 802
San Diego, CA 92108-3110
Phone (858) 519-8002

Other practice location 1

15901 Hawthorne Blvd Ste 260
Lawndale, CA 90260-5804
Phone (858) 519-8002

Other identifiers 16

IdentifierTypeStateIssuer
1093267361MedicaidCA
1669011599MedicaidCA
1073892956MedicaidCA
1699159764MedicaidCA
1922333665MedicaidCA
1639564396MedicaidCA
1699020644OtherCANPI
1285844456OtherCANPI
1548601685MedicaidCA
1578926192MedicaidCA
1356963326MedicaidCA
1821355280MedicaidCA
1093267361OtherCANPI
1245646009MedicaidCA
1265998322MedicaidCA
1942653332OtherCANPI

Other names 1

  • A PLACE OF GROWTH Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231025002476 CA Part B Supplier - Clinic/Group Practice 4486067618 Receives reassigned benefits from 14 practitioners
Practice locations: San Diego, CA

National Provider Directory

National Provider Directory

Locations

591 Camino de la Reina
Ste 802
San Diego, CA 92108
Phone (858) 208-0815

Practitioners & affiliated clinicians

Practitioners 30

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1537228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791763200000",
    "number": "1083198782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "591 CAMINO DE LA REINA STE 802",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083110",
            "telephone_number": "858-519-8002",
            "fax_number": "619-684-3788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 CAMINO DE LA REINA STE 802",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083110",
            "telephone_number": "858-519-8002",
            "fax_number": "619-684-3788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15901 Hawthorne Blvd Ste 260",
            "address_purpose": "LOCATION",
            "city": "Lawndale",
            "state": "CA",
            "postal_code": "902605804",
            "country_code": "US",
            "telephone_number": "858-519-8002",
            "fax_number": "619-684-3788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VANESSA VILLASENOR LICENSED MARRIAGE AND FAMILY THERAPIST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-18",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-12",
        "status": "A",
        "authorized_official_last_name": "VILLASENOR",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_middle_name": "DANIELLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "858-519-8002"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093267361",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669011599",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073892956",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699159764",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1922333665",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1639564396",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1699020644",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1285844456",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1548601685",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578926192",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356963326",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821355280",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1093267361",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245646009",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1265998322",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1942653332",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A PLACE OF GROWTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.