Individual provider Active NPI

Venecia Ebneof, MFT

  • Marriage & Family Therapist
  • Ca, CA
National Provider Identifier
1720489065
Registry record updated Dec 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT101298 Issued in CA
Practice address
39281 Via Pamplona
Murrieta
Ca, CA 92563
Phone
(951) 319-5293
NPI assigned
Sep 5, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 101298 CA
Marriage & Family Therapist 106H00000X 81698
Marriage & Family Therapist 106H00000X LMFT101298 CA Primary

Addresses

Primary practice location

39281 Via Pamplona
Murrieta
Ca, CA 92563

Mailing address

39281 Via Pamplona
Murrieta, CA 92563-5023
Phone (951) 319-5293

Other practice location 1

221 W Crest St Ste 102
Escondido, CA 92025-1736
Phone (760) 489-4930

Other practice location 2

24885 Whitewood Rd Ste 105
Murrieta, CA 92563-2004
Phone (951) 698-8558

Other practice location 3

221 W Crest St Ste 102
Escondido, CA 92025-1736
Phone (760) 489-4930

Other practice location 4

1400 N Norma St Ste 127-133
Ridgecrest, CA 93555
Phone (760) 499-7406

Other practice location 5

39281 Via Pamplona
Murrieta, CA 92563-5023
Phone (951) 319-5293

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

LicenseStateTypeSpecialty
101298CAMDMental Health Counselor
LMFT101298CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Solitude Marriage,Family and Child Therapy Services Marriage & Family Therapist CurrentSince Dec 6, 2020 Accepting new patients
Psychiatric Centers at San Diego, Inc. Med GRP Mental Health PastSince Aug 1, 2001 Accepting new patients
Mfi Recovery Center PastSince Jun 1, 2022 Accepting new patients
College Community Services PastSince Feb 9, 2025 Accepting new patients
College Community Services PastSince Feb 1, 2020 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1409875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608249600000",
    "number": "1720489065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39281 VIA PAMPLONA",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925635023",
            "telephone_number": "951-319-5293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39281 VIA PAMPLONA",
            "address_2": "MURRIETA",
            "city": "CA",
            "state": "CA",
            "postal_code": "92563",
            "telephone_number": "951-319-5293"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "221 W Crest St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Escondido",
            "state": "CA",
            "postal_code": "920251736",
            "country_code": "US",
            "telephone_number": "760-489-4930",
            "fax_number": "619-528-4625",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24885 Whitewood Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Murrieta",
            "state": "CA",
            "postal_code": "925632004",
            "country_code": "US",
            "telephone_number": "951-698-8558",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "221 W Crest St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Escondido",
            "state": "CA",
            "postal_code": "920251736",
            "country_code": "US",
            "telephone_number": "760-489-4930",
            "fax_number": "619-528-4625",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 N Norma St Ste 127-133",
            "address_purpose": "LOCATION",
            "city": "Ridgecrest",
            "state": "CA",
            "postal_code": "93555",
            "country_code": "US",
            "telephone_number": "760-499-7406",
            "fax_number": "760-499-9259",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "39281 Via Pamplona",
            "address_purpose": "LOCATION",
            "city": "Murrieta",
            "state": "CA",
            "postal_code": "925635023",
            "country_code": "US",
            "telephone_number": "951-319-5293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EBNEOF",
        "first_name": "VENECIA",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-05",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "101298",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": "81698",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT101298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ca, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2020; 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.