Organization Active NPI

Mercado Martinez Counseling a Marriage and Family Therapy Corpor

  • Marriage & Family Therapist
  • Wildomar, CA
National Provider Identifier
1487360319
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
MERCADO MARTINEZ COUNSELING A MARRIAGE AND FAMILY THERAPY CORPOR
Practice address
36068 Hidden Springs Rd Ste C1023
Wildomar, CA 92595-7679
Phone
(951) 852-2016
NPI assigned
Jan 24, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Authorized official

Name
Mrs. Michelle Mercado Martinez, LMFTNPI 1366890477
Title
Ceo
Phone
(951) 364-2558

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

36068 Hidden Springs Rd Ste C1023
Wildomar, CA 92595-7679

Mailing address

36068 Hidden Springs Rd Ste C1023
Wildomar, CA 92595-7679
Phone (951) 364-2558

National Provider Directory

National Provider Directory

Locations

36068 Hidden Springs Rd
Ste C1023
Wildomar, CA 92595
Phone (951) 852-2016

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": "1674518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674518400000",
    "number": "1487360319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36068 HIDDEN SPRINGS RD STE C1023",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "925957679",
            "telephone_number": "951-364-2558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36068 HIDDEN SPRINGS RD STE C1023",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "925957679",
            "telephone_number": "951-852-2016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCADO MARTINEZ COUNSELING A MARRIAGE AND FAMILY THERAPY CORPOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-24",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A",
        "authorized_official_last_name": "MERCADO MARTINEZ",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-364-2558",
        "authorized_official_name_prefix": "Mrs.",
        "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": []
}

Other providers in Wildomar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; 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.