Active NPI
Lorena Peraza Frey, MS, LMFT
- Marriage & Family Therapist
- Riverside, CA
National Provider Identifier
1659499747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC#51938
- Practice address
- 4164 Brockton Ave
Riverside, CA 92501 - Phone
- (951) 683-5193
- Fax
- (951) 683-6019
- NPI assigned
- Mar 27, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC#51938 | CA | Primary |
Addresses
Primary practice location
4164 Brockton Ave
Riverside, CA 92501
Mailing address
700 E. Redlands Blvd. #U-156
Redlands, CA 92373
Phone (909) 648-5709
Other practice location 1
Central Valley Juvenile Detention and Ctr
900 E. Gilbert Street
San Bernardino, CA 92415-0940
Phone (909) 387-7118 ext. 60720
Other practice location 2
700 E Redlands Blvd Ste U-156
Redlands, CA 92373-6109
Phone (909) 206-3332
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC#51938 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563840000000",
"number": "1659499747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 E. REDLANDS BLVD. #U-156",
"city": "REDLANDS",
"state": "CA",
"postal_code": "92373",
"telephone_number": "909-648-5709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4164 BROCKTON AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "92501",
"telephone_number": "951-683-5193",
"fax_number": "951-683-6019"
}
],
"practiceLocations": [
{
"address_1": "Central Valley Juvenile Detention and Ctr",
"address_2": "900 E. Gilbert Street",
"address_purpose": "LOCATION",
"city": "San Bernardino",
"state": "CA",
"postal_code": "924150940",
"country_code": "US",
"telephone_number": "909-387-7118 x60720",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "700 E Redlands Blvd Ste U-156",
"address_purpose": "LOCATION",
"city": "Redlands",
"state": "CA",
"postal_code": "923736109",
"country_code": "US",
"telephone_number": "909-206-3332",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FREY",
"first_name": "LORENA",
"middle_name": "PERAZA",
"name_prefix": "Mrs.",
"credential": "MS, LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-27",
"last_updated": "2019-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC#51938",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.