Susan Marie Wolbert

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

VQGWOSLHPKFEIYNZ Issued in CA

Practice address

40925 County Center Dr
Temecula, CA 92591-6054

Phone

(951) 600-6410

NPI assigned

Jun 16, 2021

Last updated

Jan 11, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mfi Recovery Center

  • Substance Abuse Rehabilitation Facility
  • Riverside, CA
  • NPI 1881059525
  NPD (past)

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

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1184292088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40925 COUNTY CENTER DR",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925916054",
            "telephone_number": "951-600-6410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40925 COUNTY CENTER DR",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925916054",
            "telephone_number": "951-600-6410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5870 Arlington Ave",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925042037",
            "country_code": "US",
            "telephone_number": "951-683-6596",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLBERT",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-16",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "R1297330318",
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "CA",
            "license": "VQGWOSLHPKFEIYNZ",
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "CA",
            "license": "VQGWOSLHPKFEIYNZ",
            "primary": true
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Witek
• Robert Allen Witek, D.D.S.
• Eden Witters, RBT
• Skylynn Wittry
• Betina R Wofford-Gilmore, DSW, LCSW
• Kayla Wold
• Nathnael Abera Woldehana, MD, MPH
• Cassie Marie Wolff, CCC-SLP
• Woman to Woman Health Center
• Womens Healthcare of Temecula

• Peer Specialist in Temecula, CA
• Providers in Temecula, CA by specialty
• Peer Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.