Organization Active NPI

Heal and Renew Family Counseling Center, Professional Corporation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Moreno Valley, CA
National Provider Identifier
1467301572
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
HEAL AND RENEW FAMILY COUNSELING CENTER, PROFESSIONAL CORPORATION
Practice address
27789 Kildare PL
Moreno Valley, CA 92555-5638
Phone
(951) 268-4483
NPI assigned
Jan 23, 2026
Last updated
Jan 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

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

Authorized official

Name
Mrs. Elyse Diana Dejohnette, LMFTNPI 1518224088
Title
Ceo
Phone
(951) 268-4483

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

27789 Kildare PL
Moreno Valley, CA 92555-5638

Mailing address

PO Box 6215
Moreno Valley, CA 92554-6215
Phone (951) 268-4483

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1769126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769126400000",
    "number": "1467301572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6215",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925546215",
            "telephone_number": "951-268-4483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27789 KILDARE PL",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925555638",
            "telephone_number": "951-268-4483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAL AND RENEW FAMILY COUNSELING CENTER, PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-23",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A",
        "authorized_official_last_name": "DEJOHNETTE",
        "authorized_official_first_name": "ELYSE",
        "authorized_official_middle_name": "DIANA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-268-4483",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moreno Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2026; 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.