Hedley Vankuch, AMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

143695 Issued in CA

Practice address

24195 Juanita Dr
Canyon Lake, CA 92587-9294

Phone

(951) 356-9613

NPI assigned

Aug 16, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1723766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1639901788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35811 CHALET CT",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925631840",
            "telephone_number": "805-865-5214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24195 JUANITA DR",
            "city": "CANYON LAKE",
            "state": "CA",
            "postal_code": "925879294",
            "telephone_number": "951-356-9613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANKUCH",
        "first_name": "HEDLEY",
        "credential": "AMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-16",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "143695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Thomas, CHC
• Marygrace Thompson, LVN
• Kali Tiefenthaler
• Michael Tiideberg
• TLC Enterprise, Inc.
• Amber James Wagstaff, RDN
• Steven E. Weidler, D.D.S.
• Julie Zimmerer, DC

• Marriage & Family Therapist in Canyon Lake, CA
• Providers in Canyon Lake, 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 Aug 16, 2024; 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.