Individual provider Active NPI

Nanette Sebourn, LMFT, MA

  • Marriage & Family Therapist
  • Temecula, CA
National Provider Identifier
1093993859
Registry record updated Jul 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
27349 Jefferson Ave Ste 104
Temecula, CA 92590-5611
Phone
(951) 551-4484
NPI assigned
Feb 4, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2021

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 Primary

Addresses

Primary practice location

27349 Jefferson Ave Ste 104
Temecula, CA 92590-5611

Mailing address

27349 Jefferson Ave Ste 104
Temecula, CA 92590-5611
Phone (951) 551-4484

Other practice location 1

21250 Box Springs Rd Ste 106
Moreno Valley, CA 92557-8707
Phone (951) 369-8036

Other practice location 2

41690 Enterprise Cir N Ste 216
Temecula, CA 92590-5660
Phone (951) 551-4484

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
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627516800000",
    "number": "1093993859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27349 JEFFERSON AVE STE 104",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925905611",
            "telephone_number": "951-551-4484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27349 JEFFERSON AVE STE 104",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925905611",
            "telephone_number": "951-551-4484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21250 Box Springs Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Moreno Valley",
            "state": "CA",
            "postal_code": "925578707",
            "country_code": "US",
            "telephone_number": "951-369-8036",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "41690 Enterprise Cir N Ste 216",
            "address_purpose": "LOCATION",
            "city": "Temecula",
            "state": "CA",
            "postal_code": "925905660",
            "country_code": "US",
            "telephone_number": "951-551-4484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEBOURN",
        "first_name": "NANETTE",
        "credential": "LMFT, MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-04",
        "last_updated": "2021-07-29",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; 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.