Active NPI
Laquitta Wilkins
- Case Manager/Care Coordinator
- Lake Elsinore, CA
National Provider Identifier
1407416282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 600 Central Ave Ste E1
Lake Elsinore, CA 92530-2740 - Phone
- (951) 471-1426
- Fax
- (951) 471-1453
- NPI assigned
- Jun 14, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
600 Central Ave Ste E1
Lake Elsinore, CA 92530-2740
Mailing address
600 Central Ave Ste E1
Lake Elsinore, CA 92530-2740
Phone (951) 471-1426
Other practice location 1
600 Central Ave Ste E1
Lake Elsinore, CA 92530-2740
Phone (951) 471-1426
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Access Network Non Profit Corporation | Past | Accepting new patients | |
| Sierra Counseling Psychotherapy, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Lake Elsinore, CA
- NPI 1518298702
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Corona, CA
- NPI 1861058653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695772800000",
"number": "1407416282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 CENTRAL AVE STE E1",
"city": "LAKE ELSINORE",
"state": "CA",
"postal_code": "925302740",
"telephone_number": "951-471-1426",
"fax_number": "951-471-1453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 CENTRAL AVE STE E1",
"city": "LAKE ELSINORE",
"state": "CA",
"postal_code": "925302740",
"telephone_number": "951-471-1426",
"fax_number": "951-471-1453"
}
],
"practiceLocations": [
{
"address_1": "600 Central Ave Ste E1",
"address_purpose": "LOCATION",
"city": "Lake Elsinore",
"state": "CA",
"postal_code": "925302740",
"country_code": "US",
"telephone_number": "951-471-1426",
"fax_number": "951-471-1453",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILKINS",
"first_name": "LAQUITTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-14",
"last_updated": "2023-09-27",
"certification_date": "2023-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Elsinore, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.