Active NPI
Healing Waters Marriage and Family Therapy Inc
- Marriage & Family Therapist
- Apple Valley, CA
National Provider Identifier
1083594451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Legal business name
- HEALING WATERS MARRIAGE AND FAMILY THERAPY INC
- Practice address
- 16031 Tuscola Rd
Apple Valley, CA 92307-1319 - Phone
- (661) 209-3614
- Fax
- (661) 524-9950
- NPI assigned
- Sep 5, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nicole Segroves
- Title
- Practice Manager
- Phone
- (661) 874-7851
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | |||
| Clinical Social Worker | 1041C0700X | |||
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
16031 Tuscola Rd
Apple Valley, CA 92307-1319
Mailing address
16031 Tuscola Rd
Apple Valley, CA 92307-1319
Phone (661) 209-3614
National Provider Directory
National Provider DirectoryLocations
16031 Tuscola Rd
Apple Valley, CA 92307
Phone (760) 946-2020
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- San Bernardino, CA
- NPI 1669808028
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757030400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1766361600000",
"number": "1083594451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16031 TUSCOLA RD",
"city": "APPLE VALLEY",
"state": "CA",
"postal_code": "923071319",
"telephone_number": "661-209-3614",
"fax_number": "661-524-9950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16031 TUSCOLA RD",
"city": "APPLE VALLEY",
"state": "CA",
"postal_code": "923071319",
"telephone_number": "661-209-3614",
"fax_number": "661-524-9950"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALING WATERS MARRIAGE AND FAMILY THERAPY INC",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-05",
"last_updated": "2025-12-22",
"certification_date": "2025-12-22",
"status": "A",
"authorized_official_last_name": "SEGROVES",
"authorized_official_first_name": "NICOLE",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "661-874-7851"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Apple Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.