Active NPI
Charlene Mendoza Villegas-Tran, LMFT
- Marriage & Family Therapist
- Riverside, CA
National Provider Identifier
1699807545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 47396
- Practice address
- 6711 Arlington Ave
Suite D
Riverside, CA 92504-1955 - Phone
- (951) 352-3943
- Fax
- (951) 637-1577
- NPI assigned
- Mar 9, 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 | 47396 | CA | Primary |
Addresses
Primary practice location
6711 Arlington Ave
Suite D
Riverside, CA 92504-1955
Mailing address
6711 Arlington Ave
Suite D
Riverside, CA 92504-1955
Phone (951) 352-3943
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47396 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marvin Behavioral Health Ma PC | Marriage & Family Therapist | Past | 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": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304985600000",
"number": "1699807545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6711 ARLINGTON AVE",
"address_2": "SUITE D",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925041955",
"telephone_number": "951-352-3943",
"fax_number": "951-637-1577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6711 ARLINGTON AVE",
"address_2": "SUITE D",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925041955",
"telephone_number": "951-352-3943",
"fax_number": "951-637-1577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLEGAS-TRAN",
"first_name": "CHARLENE",
"middle_name": "MENDOZA",
"name_prefix": "Mrs.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-09",
"last_updated": "2011-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "47396",
"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 May 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.