Active NPI
Lisa Marie Vigil, RADT
- Addiction (Substance Use Disorder) Counselor
- Moreno Valley, CA
National Provider Identifier
1396615290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 15049-RAC
- Practice address
- 14340 Elsworth St Ste 108
Moreno Valley, CA 92553-9020 - Phone
- (951) 419-7738
- NPI assigned
- Nov 6, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 15049-RAC | CA | Primary |
Addresses
Primary practice location
14340 Elsworth St Ste 108
Moreno Valley, CA 92553-9020
Mailing address
25898 Pumalo St
San Bernardino, CA 92404-3470
Phone (909) 844-7268
Other practice location 1
835 Anira Ct
Perris, CA 92571-5113
Phone (951) 419-7738
Other practice location 2
13941 Courage St
Moreno Valley, CA 92553-8757
Phone (951) 419-7738
Other practice location 3
13921 Courage St
Moreno Valley, CA 92553-8757
Phone (951) 419-7738
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
| License | State | Type | Specialty |
|---|---|---|---|
| 15049-RAC | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762387200000",
"number": "1396615290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25898 PUMALO ST",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924043470",
"telephone_number": "909-844-7268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14340 ELSWORTH ST STE 108",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "925539020",
"telephone_number": "951-419-7738"
}
],
"practiceLocations": [
{
"address_1": "835 Anira Ct",
"address_purpose": "LOCATION",
"city": "Perris",
"state": "CA",
"postal_code": "925715113",
"country_code": "US",
"telephone_number": "951-419-7738",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13941 Courage St",
"address_purpose": "LOCATION",
"city": "Moreno Valley",
"state": "CA",
"postal_code": "925538757",
"country_code": "US",
"telephone_number": "951-419-7738",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13921 Courage St",
"address_purpose": "LOCATION",
"city": "Moreno Valley",
"state": "CA",
"postal_code": "925538757",
"country_code": "US",
"telephone_number": "951-419-7738",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VIGIL",
"first_name": "LISA",
"middle_name": "MARIE",
"credential": "RADT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-11-06",
"last_updated": "2025-11-06",
"certification_date": "2025-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "15049-RAC",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moreno Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.