Individual provider Active NPI

Rosemarie Theresa Wheeler, LMFT, LAADC

  • Marriage & Family Therapist
  • Temecula, CA
National Provider Identifier
1134624521
Registry record updated Aug 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
105045 Issued in CA
Practice address
28991 Old Town Front St Ste 1023
Temecula, CA 92590-5803
Phone
(951) 314-7614
Fax
(951) 244-7074
NPI assigned
Mar 27, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LR02551116 CA
Mental Health Counselor 101YM0800X 105045 CA
Marriage & Family Therapist 106H00000X 105045 CA Primary

Addresses

Primary practice location

28991 Old Town Front St Ste 1023
Temecula, CA 92590-5803

Mailing address

28991 Old Town Front St Ste 1023
Temecula, CA 92590-5803
Phone (951) 314-7614

Other practice location 1

28991 Old Town Front St Ste 1023
Temecula, CA 92590-5803
Phone (951) 314-7614

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
LR02551116CAMDAddiction (Substance Use Disorder) Counselor
105045CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565222400000",
    "number": "1134624521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28991 OLD TOWN FRONT ST STE 1023",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925905803",
            "telephone_number": "951-314-7614",
            "fax_number": "951-244-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28991 OLD TOWN FRONT ST STE 1023",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925905803",
            "telephone_number": "951-314-7614",
            "fax_number": "951-244-7074"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28991 Old Town Front St Ste 1023",
            "address_purpose": "LOCATION",
            "city": "Temecula",
            "state": "CA",
            "postal_code": "925905803",
            "country_code": "US",
            "telephone_number": "951-314-7614",
            "fax_number": "951-244-7074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "ROSEMARIE",
        "middle_name": "THERESA",
        "credential": "LMFT, LAADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-27",
        "last_updated": "2019-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "LR02551116",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "105045",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "105045",
            "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 Aug 8, 2019; 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.