Individual provider Active NPI

Dennis John Mullenix II, LMFT

  • Marriage & Family Therapist
  • Calimesa, CA
National Provider Identifier
1437453115
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
91081 Issued in CA
Practice address
600 W Avenue L Unit 8
Calimesa, CA 92320-5000
Phone
(909) 333-5022
NPI assigned
Jan 10, 2011
Last updated
Feb 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 91081 CA Primary

Addresses

Primary practice location

600 W Avenue L Unit 8
Calimesa, CA 92320-5000

Mailing address

600 W Avenue L Unit 8
Calimesa, CA 92320-5000
Phone (909) 333-5022

Other practice location 1

4344 Latham St Ste 110
Riverside, CA 92501-1773
Phone (951) 779-4917

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240909004574 CA Practitioner - Marriage and Family Therapist 0244770972 Practice locations: Calimesa, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
91081CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Raincross Counseling Services, LLC Marriage & Family Therapist Past Accepting new patients
Group Home Support Services 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1294617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1437453115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W AVENUE L UNIT 8",
            "city": "CALIMESA",
            "state": "CA",
            "postal_code": "923205000",
            "telephone_number": "909-333-5022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W AVENUE L UNIT 8",
            "city": "CALIMESA",
            "state": "CA",
            "postal_code": "923205000",
            "telephone_number": "909-333-5022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4344 Latham St Ste 110",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925011773",
            "country_code": "US",
            "telephone_number": "951-779-4917",
            "fax_number": "951-602-6300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULLENIX",
        "first_name": "DENNIS",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-10",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "91081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calimesa, CA

Sources for this page

Verify at the official NPI Registry.