Organization Active NPI

Solitude Marriage,Family and Child Therapy Services

  • Marriage & Family Therapist
  • Murrieta, CA
National Provider Identifier
1487259578
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
SOLITUDE MARRIAGE,FAMILY AND CHILD THERAPY SERVICES
Doing business as
Solitude Marriage,Family And Child Therapy Service
Practice address
39281 Via Pamplona
Murrieta, CA 92563-5023
Phone
(951) 319-5293
NPI assigned
Dec 4, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

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

Authorized official

Name
Venecia Ebneof, LMFTNPI 1720489065
Title
Owner
Phone
(951) 319-5293

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
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

39281 Via Pamplona
Murrieta, CA 92563-5023

Mailing address

39281 Via Pamplona
Murrieta, CA 92563-5023
Phone (951) 319-5293

Other names 1

  • Solitude Marriage,Family And Child Therapy Service Doing business as

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.

NPI Registry JSON

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

{
    "created_epoch": "1607040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607558400000",
    "number": "1487259578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39281 VIA PAMPLONA",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925635023",
            "telephone_number": "951-319-5293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39281 VIA PAMPLONA",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925635023",
            "telephone_number": "951-319-5293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLITUDE MARRIAGE,FAMILY AND CHILD THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-04",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A",
        "authorized_official_last_name": "EBNEOF",
        "authorized_official_first_name": "VENECIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-319-5293",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Solitude Marriage,Family And Child Therapy Service",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Solitude Marriage,Family And Child Therapy Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 10, 2020; 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.