Hermosillo Family Therapy Inc.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

HERMOSILLO FAMILY THERAPY INC.

Practice address

1050 Lakes Dr Ste 250
West Covina, CA 91790-2933

Phone

(323) 215-9491

Fax

(323) 307-7712

NPI assigned

May 22, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Desiree Renae Hermosillo, LMFTNPI 1700301827

Title

Owner/Marriage and Family Therapist

Phone

(323) 474-9288

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Desiree Renae Hermosillo, LMFT

  • Marriage & Family Therapist
  • Arcadia, CA
  • NPI 1700301827

  CA, Mental Health

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752796800000",
    "number": "1407548159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32252",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900320252",
            "telephone_number": "323-382-8318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 LAKES DR STE 250",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917902933",
            "telephone_number": "323-215-9491",
            "fax_number": "323-307-7712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERMOSILLO FAMILY THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-22",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-02",
        "status": "A",
        "authorized_official_last_name": "HERMOSILLO",
        "authorized_official_first_name": "DESIREE",
        "authorized_official_middle_name": "RENAE",
        "authorized_official_title_or_position": "OWNER/MARRIAGE AND FAMILY THERAPIST",
        "authorized_official_telephone_number": "323-474-9288",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in West Covina, CA
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.