Lucy M Pena-Haas, M.A.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

53167 Issued in CA

Practice address

36290 Hidden Springs Rd Ste G
Wildomar, CA 92595-5801

Phone

(760) 518-1562

Fax

(951) 290-3631

NPI assigned

Jun 18, 2007

Last updated

Jun 9, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

Locations

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.

• Lucy Pena-Haas, Licensed Marriage and Family Therapist, Prof. Corp.

  • Marriage & Family Therapist
  • Wildomar, CA
  • NPI 1558205401
  NPD Authorized official

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1346445590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22741 QUEENSBURY CT",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "925959032",
            "telephone_number": "760-518-1564",
            "fax_number": "951-290-3631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36290 HIDDEN SPRINGS RD STE G",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "925955801",
            "telephone_number": "760-518-1562",
            "fax_number": "951-290-3631"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1002 E Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Escondido",
            "state": "CA",
            "postal_code": "920254605",
            "country_code": "US",
            "telephone_number": "760-741-2660",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 W Hawthorne St",
            "address_purpose": "LOCATION",
            "city": "Fallbrook",
            "state": "CA",
            "postal_code": "920282053",
            "country_code": "US",
            "telephone_number": "760-741-2660",
            "fax_number": "760-741-2647",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENA-HAAS",
        "first_name": "LUCY",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-18",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "53167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100113544",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Wildomar, CA
• Providers in Wildomar, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.