Individual provider Active NPI

Lee Amaris Padden, M.A., LMFT

  • Marriage & Family Therapist
  • Temecula, CA
National Provider Identifier
1275288284
Registry record updated Feb 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
123797 Issued in CA
Practice address
28441 Rancho California Rd Ste 207
Temecula, CA 92590-3677
Phone
(951) 519-9105
NPI assigned
Feb 17, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2022

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 123797 CA Primary

Addresses

Primary practice location

28441 Rancho California Rd Ste 207
Temecula, CA 92590-3677

Mailing address

28441 Rancho California Rd Ste 207
Temecula, CA 92590-3677
Phone (951) 519-9105

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.
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Four Elements Marriage and Family Counseling Inc. CurrentSince Oct 22, 2023 Accepting new patients

Locations

28441 Rancho California Rd
Ste 207
Temecula, CA 92590
Phone (951) 519-9105

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": "1645056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1275288284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28441 RANCHO CALIFORNIA RD STE 207",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925903677",
            "telephone_number": "951-519-9105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28441 RANCHO CALIFORNIA RD STE 207",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925903677",
            "telephone_number": "951-519-9105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADDEN",
        "first_name": "LEE",
        "middle_name": "AMARIS",
        "credential": "M.A., LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-17",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "123797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

Verify at the official NPI Registry.