Buchanan Trauma Recovery Family Therapy

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

BUCHANAN TRAUMA RECOVERY FAMILY THERAPY

Practice address

1410 3Rd St Ste 12
Riverside, CA 92507-3422

Phone

(951) 344-6428

NPI assigned

Sep 14, 2021

Organization subpart

No

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

Authorized official

Name

Ilese Buchanan, MSNPI 1912372335

Title

Owner/LMFT

Phone

(951) 344-6428

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Ilese Buchanan, MS

  • Marriage & Family Therapist
  • Laguna Niguel, CA
  • NPI 1912372335
  NPD Authorized official

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

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631577600000",
    "number": "1467122192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52015",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925173015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 3RD ST STE 12",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925073422",
            "telephone_number": "951-344-6428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCHANAN TRAUMA RECOVERY FAMILY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-14",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A",
        "authorized_official_last_name": "BUCHANAN",
        "authorized_official_first_name": "ILESE",
        "authorized_official_title_or_position": "OWNER/LMFT",
        "authorized_official_telephone_number": "951-344-6428",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Javon Douglass Bryson, HIGH SCHOOL DIPLOMA
• Adrien Bubnow
• Michael James Buchan, MD
• Buchanan Counseling Services
• Buchanan Family Foundation
• Breanna R Buchanan
• Julie Ann Buchanan, PA-C
• Esmeralda Bucio
• Kimberly Joy Buck, NP
• Ning Bucolo

• Marriage & Family Therapist in Riverside, CA
• Providers in Riverside, 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 Sep 14, 2021; 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.