Active NPI
Nanette Sebourn, LMFT, MA
- Marriage & Family Therapist
- Temecula, CA
National Provider Identifier
1093993859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.