Elizabeth S Vahdatpour, LMFT 124764

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

124764 Issued in CA

Practice address

27890 Clinton Keith Rd Ste D-352
Murrieta, CA 92562-8571

Phone

(951) 708-6516

NPI assigned

Oct 16, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Balancing You Family Therapy Center Inc.

  • Marriage & Family Therapist
  • Murrieta, CA
  • NPI 1134876402
  NPD Authorized official
• Modern Parenting Solutions Psychological Services

  • Psychologist
  • Redlands, CA
  • NPI 1447885272

  Marriage & Family Therapist

  NPD
• Southern California Health & Rehabilitation Program

  • Community/Behavioral Health Agency
  • Lynwood, CA
  • NPI 1467775221
  NPD (past)
• Southern California Health & Rehabilitation Program

  • Community/Behavioral Health Agency
  • Los Angeles, CA
  • NPI 1861521841
  NPD (past)

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

{
    "created_epoch": "1539648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647388800000",
    "number": "1578039608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27890 CLINTON KEITH RD STE D-352",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925628571",
            "telephone_number": "951-708-6516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27890 CLINTON KEITH RD STE D-352",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925628571",
            "telephone_number": "951-708-6516"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1030 Nevada St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Redlands",
            "state": "CA",
            "postal_code": "923742957",
            "country_code": "US",
            "telephone_number": "909-326-2562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAHDATPOUR",
        "first_name": "ELIZABETH",
        "middle_name": "S",
        "credential": "LMFT 124764",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-16",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "108583",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "108583",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "124764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ashley Valdivia
• Frank J Valencia, M.D.
• McKenna Marie Valencia
• Caylie Valenta, PA-C

• Marriage & Family Therapist in Murrieta, CA
• Providers in Murrieta, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; 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.