Mark Wight, AMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

AMFT150705 Issued in CA

Practice address

7899 Mission Grove Pkwy S Ste a
Riverside, CA 92508-5062

Phone

(951) 776-9223

NPI assigned

May 12, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• A Coming of Age Ffa

  • Peer Specialist
  • Riverside, CA
  • NPI 1295602704
  NPD
• A Coming of Age to Adulthood, Inc

  • Community/Behavioral Health Agency
  • Riverside, CA
  • NPI 1073070686
  NPD
• Comprehensive Autism Center, PC

  • Behavior Analyst
  • Temecula, CA
  • NPI 1356508030
  NPD (past)

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

{
    "created_epoch": "1652313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1386381275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35503 CRABAPPLE ST",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925624594",
            "telephone_number": "951-440-0269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7899 MISSION GROVE PKWY S STE A",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925085062",
            "telephone_number": "951-776-9223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26720 Ynez Ct",
            "address_purpose": "LOCATION",
            "city": "Temecula",
            "state": "CA",
            "postal_code": "925914659",
            "country_code": "US",
            "telephone_number": "951-813-4034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIGHT",
        "first_name": "MARK",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-12",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT150705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RBT",
            "identifier": "34348987",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMFT",
            "identifier": "1386381275",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mark.wight@comprehensiveautismcenter.com",
            "affiliation": "N",
            "endpointDescription": "wo",
            "address_1": "26720 Ynez Ct",
            "city": "Temecula",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925914659",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mwight@ACOA.local",
            "affiliation": "N",
            "endpointDescription": "work email",
            "address_1": "7899 Mission Grove Pkwy S Ste A",
            "city": "Riverside",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925085062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tiffany Widjaja
• Nola-Mae Wiedrich
• Colleen Michelle Wieland, LCSW
• Juanita Wielenga, CNM
• Jill Wieseler
• Kylie Rose Wilborn
• Quinteria Wilborn
• Amanda M Wilbur
• Brianna Elizabeth Wilcox-Mitchell
• Jacqueline L Wilcoxson, PH.D, LMFT

• Marriage & Family Therapist in Riverside, CA
• Providers in Riverside, 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 Dec 3, 2024; 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.