Individual provider Active NPI

Raelyn Ruth Ceja, LMFT# 135794

  • Marriage & Family Therapist
  • Riverside, CA
National Provider Identifier
1245107465
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
135794 Issued in CA
Practice address
19321 Grove Community Dr
Riverside, CA 92508-8113
Phone
(951) 571-9096
Fax
(951) 571-9097
NPI assigned
Oct 22, 2025
Last updated
Oct 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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 135794 CA Primary

Addresses

Primary practice location

19321 Grove Community Dr
Riverside, CA 92508-8113

Mailing address

19321 Grove Community Dr
Riverside, CA 92508-8113
Phone (951) 571-9096

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

NPI Registry JSON

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

{
    "created_epoch": "1761091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1245107465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19321 GROVE COMMUNITY DR",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925088113",
            "telephone_number": "951-571-9096",
            "fax_number": "951-571-9097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19321 GROVE COMMUNITY DR",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925088113",
            "telephone_number": "951-571-9096",
            "fax_number": "951-571-9097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEJA",
        "first_name": "RAELYN",
        "middle_name": "RUTH",
        "name_prefix": "Mrs.",
        "credential": "LMFT# 135794",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-22",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "135794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 22, 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.

Verify at the official NPI Registry.