Individual provider Active NPI

Lauren De Menezes

  • Marriage & Family Therapist
  • Riverside, CA
National Provider Identifier
1306323662
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
1868 Apostle LN
Riverside, CA 92506-4655
Phone
(951) 850-2484
NPI assigned
Jul 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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 Primary

Addresses

Primary practice location

1868 Apostle LN
Riverside, CA 92506-4655

Mailing address

1868 Apostle LN
Riverside, CA 92506-4655
Phone (951) 850-2484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240611002788 CA Practitioner - Marriage and Family Therapist 3173065778 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Soultenders Psychological Services, Inc. CurrentSince Jul 1, 2026 Accepting new patients
Soultenders, Inc. CurrentSince Nov 7, 2024 Accepting new patients
Go With the Flow Family Therapy Inc Marriage & Family Therapist CurrentSince Nov 10, 2024 Accepting new patients
Stephen M Pumphrey Licensed Clinical Social Workers Inc PastSince Dec 25, 2018 Accepting new patients

Locations

41 E Foothill Blvd
Ste 102
Arcadia, CA 91006
Phone (626) 701-4249

2525 Cherry Ave
Ste 350
Signal Hill, CA 90755
Phone (562) 261-2964

Organizations & group practices 4

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": "1531958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1306323662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1868 APOSTLE LN",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925064655",
            "telephone_number": "951-850-2484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1868 APOSTLE LN",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925064655",
            "telephone_number": "951-850-2484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE MENEZES",
        "first_name": "LAUREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-19",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.