Individual provider Active NPI

Rosa Lee Acevedo, LMFT

  • Marriage & Family Therapist
  • Riverside, CA
National Provider Identifier
1326175274
Registry record updated Jun 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 30665 Issued in CA
Practice address
3579 Arlington Ave
Suite 500
Riverside, CA 92506-3915
Phone
(951) 369-5211
Fax
(951) 276-0482
NPI assigned
Feb 27, 2007
Last updated
Jun 20, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2019

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 MFC 30665 CA Primary

Addresses

Primary practice location

3579 Arlington Ave
Suite 500
Riverside, CA 92506-3915

Mailing address

3593 Arlington Ave Ste J
Riverside, CA 92506-3935
Phone (951) 369-5211

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

State licenses

LicenseStateTypeSpecialty
MFC 30665CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rosa Lee Acevedo PH.D. Apc Marriage & Family Therapist Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560988800000",
    "number": "1326175274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3593 ARLINGTON AVE STE J",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063935",
            "telephone_number": "951-369-5211",
            "fax_number": "951-276-0482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3579 ARLINGTON AVE",
            "address_2": "SUITE 500",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063915",
            "telephone_number": "951-369-5211",
            "fax_number": "951-276-0482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACEVEDO",
        "first_name": "ROSA LEE",
        "name_prefix": "Dr.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2019-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 30665",
            "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 Jun 20, 2019; 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.