Individual provider Active NPI

Rachel Renee Leal, LMFT

  • Marriage & Family Therapist
  • Riverside, CA
National Provider Identifier
1679110837
Registry record updated Dec 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
113305 Issued in CA
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

Updated by the provider on Dec 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250529001510 CA Practitioner - Marriage and Family Therapist 1456870765 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
113305CAMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Talk Therapy Center Marriage & Family Therapist CurrentSince Mar 8, 2025 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.

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

Verify at the official NPI Registry.