Individual provider Active NPI

Elyse Diana Dejohnette, LMFT

  • Marriage & Family Therapist
  • Moreno Valley, CA
National Provider Identifier
1518224088
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
154426 Issued in CA
Practice address
27789 Kildare PL
Moreno Valley, CA 92555-5638
Phone
(951) 268-4483
NPI assigned
Apr 20, 2012
Last updated
Jan 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 154426 CA Primary

Addresses

Primary practice location

27789 Kildare PL
Moreno Valley, CA 92555-5638

Mailing address

27789 Kildare PL
Moreno Valley, CA 92555-5638
Phone (951) 268-4483

Other names 1

  • Elyse Diana Vaughn Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250605004152 CA Practitioner - Marriage and Family Therapist 8921518309 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
154426CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Heal and Renew Family Counseling Center, Professional Corporation CurrentSince Jun 15, 2025 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1334880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769126400000",
    "number": "1518224088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27789 KILDARE PL",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925555638",
            "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": {
        "last_name": "DEJOHNETTE",
        "first_name": "ELYSE",
        "middle_name": "DIANA",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-20",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "154426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELYSE",
            "last_name": "VAUGHN",
            "middle_name": "DIANA",
            "credential": "LMFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Moreno Valley, CA

Sources for this page

Verify at the official NPI Registry.