Judith Villanueva

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

265 San Jacinto River Rd Ste 107
Lake Elsinore, CA 92530-4400

Phone

(951) 674-9243

NPI assigned

May 3, 2021

Reactivated

Dec 27, 2023

Last updated

Dec 27, 2023By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• New Hope Christian Counseling Foundation, Inc

  • Community/Behavioral Health Agency
  • Moreno Valley, CA
  • NPI 1538491246
  NPD (past)

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

{
    "created_epoch": "1620000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1407439813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 337",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925640337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 SAN JACINTO RIVER RD STE 107",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925304400",
            "telephone_number": "951-674-9243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLANUEVA",
        "first_name": "JUDITH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-03",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "deactivation_date": "2023-12-14",
        "reactivation_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victor Community Support Services, Inc.
• Monica Vidal
• Adelma Villa Padilla, BA
• Jacob I Villa
• Samantha Mariah Villa
• Ann-Sophie Villarreal
• Ashly Ann Villarreal
• Monica Virrey
• Vista Community Clinic
• Edith Escamilla Vizcarra, MS., PPS SP, PPS SC

• Marriage & Family Therapist in Lake Elsinore, CA
• Providers in Lake Elsinore, 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 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.

Verify at the official NPI Registry.