Active NPI
Rachel Renee Leal, LMFT
- Marriage & Family Therapist
- Riverside, CA
National Provider Identifier
1679110837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 113305
- Practice address
- 19330 Jesse LN Ste 280
Riverside, CA 92508-5076 - Phone
- (951) 387-4040
- Fax
- (951) 398-3144
- NPI assigned
- Dec 6, 2019
- Sex
- Female
- Sole proprietor
- No
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 | 113305 | CA | Primary |
Addresses
Primary practice location
19330 Jesse LN Ste 280
Riverside, CA 92508-5076
Mailing address
19330 Jesse LN Ste 280
Riverside, CA 92508-5076
Phone (951) 387-4040
Other practice location 1
25020 Las Brisas Rd Ste 202
Murrieta, CA 92562-4064
Phone (951) 387-4040
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 113305 | CA | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Talk Therapy Center | Marriage & Family Therapist | Current | Accepting new patients |
Locations
19322 Jesse Ln
Ste 200
Riverside, CA 92508
Phone (951) 387-4040
19330 Jesse Ln
Ste 280
Riverside, CA 92508
Phone (951) 387-4040
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.
-
- Marriage & Family Therapist
- Riverside, CA
- NPI 1174089411
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575590400000",
"number": "1679110837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19330 JESSE LN STE 280",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925085076",
"telephone_number": "951-387-4040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19330 JESSE LN STE 280",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925085076",
"telephone_number": "951-387-4040",
"fax_number": "951-398-3144"
}
],
"practiceLocations": [
{
"address_1": "25020 Las Brisas Rd Ste 202",
"address_purpose": "LOCATION",
"city": "Murrieta",
"state": "CA",
"postal_code": "925624064",
"country_code": "US",
"telephone_number": "951-387-4040",
"fax_number": "951-398-3144",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEAL",
"first_name": "RACHEL",
"middle_name": "RENEE",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-06",
"last_updated": "2019-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "113305",
"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 Dec 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.