Individual provider Active NPI

Desiree T. Lelless

  • Marriage & Family Therapist
  • Apple Valley, CA
National Provider Identifier
1477736346
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT 90580 Issued in CA
Practice address
18930 US Highway 18 Ste 103
Apple Valley, CA 92307-2506
Phone
(760) 896-1358
Fax
(760) 645-6202
NPI assigned
Dec 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X IMF80409 CA
Marriage & Family Therapist 106H00000X LMFT 90580 CA Primary

Addresses

Primary practice location

18930 US Highway 18 Ste 103
Apple Valley, CA 92307-2506

Mailing address

PO Box 263
Apple Valley, CA 92307-0005
Phone (760) 900-0989

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
IMF80409CAMDMarriage & Family Therapist
LMFT 90580CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1477736346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 263",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923070005",
            "telephone_number": "760-900-0989",
            "fax_number": "760-645-6202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18930 US HIGHWAY 18 STE 103",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072506",
            "telephone_number": "760-896-1358",
            "fax_number": "760-645-6202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LELLESS",
        "first_name": "DESIREE",
        "middle_name": "T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-13",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF80409",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT 90580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.