Individual provider Active NPI

Chanelle Neilson

  • Marriage & Family Therapist
  • Murrieta, CA
National Provider Identifier
1457263873
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
30614 Kentfield Dr
Murrieta, CA 92563-7892
Phone
(951) 623-9507
NPI assigned
Sep 21, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2026

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 Primary

Addresses

Primary practice location

30614 Kentfield Dr
Murrieta, CA 92563-7892

Mailing address

30614 Kentfield Dr
Murrieta, CA 92563-7892
Phone (951) 623-9507

Other practice location 1

29970 Technology Dr Ste 212
Murrieta, CA 92563-2649
Phone (951) 900-4414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1789948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789948800000",
    "number": "1457263873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30614 KENTFIELD DR",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925637892",
            "telephone_number": "951-623-9507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30614 KENTFIELD DR",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925637892",
            "telephone_number": "951-623-9507"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29970 Technology Dr Ste 212",
            "address_purpose": "LOCATION",
            "city": "Murrieta",
            "state": "CA",
            "postal_code": "925632649",
            "country_code": "US",
            "telephone_number": "951-900-4414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEILSON",
        "first_name": "CHANELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-21",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.