Individual provider Active NPI

Juliet Wiseman, MA

  • Professional Counselor
  • Temecula, CA
National Provider Identifier
1669304465
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
22631 Issued in CA
Practice address
28693 Old Town Front St Ste 300
Temecula, CA 92590-2789
Phone
(951) 249-3426
Fax
(951) 346-3458
NPI assigned
Jun 3, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 22631 CA Primary

Addresses

Primary practice location

28693 Old Town Front St Ste 300
Temecula, CA 92590-2789

Mailing address

28693 Old Town Front St Ste 300
Temecula, CA 92590-2789
Phone (951) 249-3426

Other practice location 1

41690 Ivy St
Murrieta, CA 92562-9436
Phone (951) 249-3426

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 Arts

State licenses

LicenseStateTypeSpecialty
22631CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Flourish Family Counseling, Inc. Professional PastSince Jan 1, 2023 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1780444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1669304465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28693 OLD TOWN FRONT ST STE 300",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925902789",
            "telephone_number": "951-249-3426",
            "fax_number": "951-346-3458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28693 OLD TOWN FRONT ST STE 300",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925902789",
            "telephone_number": "951-249-3426",
            "fax_number": "951-346-3458"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41690 Ivy St",
            "address_purpose": "LOCATION",
            "city": "Murrieta",
            "state": "CA",
            "postal_code": "925629436",
            "country_code": "US",
            "telephone_number": "951-249-3426",
            "fax_number": "951-346-3458",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WISEMAN",
        "first_name": "JULIET",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-03",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "22631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; 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.