Active NPI
Lisa Monique Encinas
- Marriage & Family Therapist
- Banning, CA
National Provider Identifier
1104324730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 153416
- Practice address
- 1627 S Hargrave St
Banning, CA 92220-6169 - Phone
- (951) 922-7832
- NPI assigned
- Jan 29, 2018
- 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 | 153416 | CA | Primary |
Addresses
Primary practice location
1627 S Hargrave St
Banning, CA 92220-6169
Mailing address
15459 Adobe Way
Moreno Valley, CA 92555-5813
Phone (951) 496-7884
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
| License | State | Type | Specialty |
|---|---|---|---|
| 153416 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745971200000",
"number": "1104324730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15459 ADOBE WAY",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "925555813",
"telephone_number": "951-496-7884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1627 S HARGRAVE ST",
"city": "BANNING",
"state": "CA",
"postal_code": "922206169",
"telephone_number": "951-922-7832"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENCINAS",
"first_name": "LISA",
"middle_name": "MONIQUE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-29",
"last_updated": "2025-04-30",
"certification_date": "2025-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "153416",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Julie C. Enslow, R.D.
- Mary Joyce Espinoza, FNP
- Essential Psychiatric Services, a Professional Nursing Corporation
- Marianne Everling
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.