NPIMap

Organization Active NPI

Willmon Family Counseling Services, Inc.

  • Marriage & Family Therapist
  • Riverside, CA
National Provider Identifier
1174728828
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
28565 Issued in CA
Legal business name
WILLMON FAMILY COUNSELING SERVICES, INC.
Practice address
5464 Grassy Trail Dr
Riverside, CA 92504-1214
Phone
(951) 369-0439
NPI assigned
Jun 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Lisa Anne Willmon, M.A., MFTNPI 1851642565
Title
Director
Phone
(951) 320-1390

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 28565 CA Primary

Addresses

Primary practice location

5464 Grassy Trail Dr
Riverside, CA 92504-1214

Mailing address

3590 Central Ave
Suite 208
Riverside, CA 92506-2708
Phone (951) 320-1390

Other names 1

  • Four Streams Christian Counseling Doing business as

National Provider Directory

National Provider Directory

Locations

3590 Central Ave
Ste 208
Riverside, CA 92506
Phone (951) 201-9201

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174728828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3590 CENTRAL AVE",
            "address_2": "SUITE 208",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062708",
            "telephone_number": "951-320-1390",
            "fax_number": "951-684-4538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5464 GRASSY TRAIL DR",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925041214",
            "telephone_number": "951-369-0439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLMON FAMILY COUNSELING SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLMON",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "951-320-1390",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A., MFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "28565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Four Streams Christian Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.