Individual provider Active NPI

Susanne Eisenhart

  • Marriage & Family Therapist
  • Apple Valley, CA
National Provider Identifier
1679218887
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT164708 Issued in CA
Practice address
17995 Outer Hwy 18
Apple Valley, CA 92307-2190
Phone
(760) 243-5417
NPI assigned
May 2, 2022
Last updated
Aug 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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 LMFT164708 CA Primary

Addresses

Primary practice location

17995 Outer Hwy 18
Apple Valley, CA 92307-2190

Mailing address

12421 Hesperia Rd Ste 2
Victorville, CA 92395-7704
Phone (760) 243-5417

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

NPI Registry JSON

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

{
    "created_epoch": "1651449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1679218887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12421 HESPERIA RD STE 2",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923957704",
            "telephone_number": "760-243-5417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17995 OUTER HWY 18",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072190",
            "telephone_number": "760-243-5417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISENHART",
        "first_name": "SUSANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-02",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT164708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.