Individual provider Active NPI

Evelyn Rivera-Luna, AMFT

  • Marriage & Family Therapist
  • Redlands, CA
National Provider Identifier
1184390551
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
AMFT122376 Issued in CA
Practice address
1461 Ford St Ste 202
Redlands, CA 92373-3909
Phone
(909) 792-5551
Fax
(909) 614-8218
NPI assigned
Aug 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X AMFT122376 CA Primary

Addresses

Primary practice location

1461 Ford St Ste 202
Redlands, CA 92373-3909

Mailing address

1461 Ford St Ste 202
Redlands, CA 92373-3909
Phone (909) 792-5551

Other identifiers 1

IdentifierTypeStateIssuer
AMFT122376OtherCAAMFT

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Redlands Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AMFT122376CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Salinas Family Counseling Inc CurrentSince Aug 28, 2021 Accepting new patients

Locations

1461 Ford St
Ste 202
Redlands, CA 92373
Phone (909) 528-6981

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1184390551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1461 FORD ST STE 202",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923733909",
            "telephone_number": "909-792-5551",
            "fax_number": "909-614-8218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1461 FORD ST STE 202",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923733909",
            "telephone_number": "909-792-5551",
            "fax_number": "909-614-8218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA-LUNA",
        "first_name": "EVELYN",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-17",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT122376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMFT",
            "identifier": "AMFT122376",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Redlands",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Redlands",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "Redlands",
            "address_1": "1461 Ford St Ste 202",
            "city": "Redlands",
            "state": "CA",
            "country_code": "US",
            "postal_code": "923733909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

Verify at the official NPI Registry.