Active NPI
Elizabeth Jackeline Vanegas, LMFT
- Marriage & Family Therapist
- La Quinta, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 102559
- Practice address
- 47950 Dune Palms Rd
La Quinta, CA 92253-4000 - Phone
- (760) 775-3800
- NPI assigned
- Jun 6, 2013
- Last updated
- Mar 29, 2023
- 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 | 102559 | CA | Primary |
Addresses
Primary practice location
47950 Dune Palms Rd
La Quinta, CA 92253-4000
Mailing address
41660 Dore St
Indio, CA 92203-3069
Phone (760) 537-3857
Other practice location 1
47950 Dune Palms Rd
LA Quinta, CA 92253-4000
Phone (760) 844-4595
Other practice location 2
47825 Oasis St
Indio, CA 92201-6950
Phone (760) 863-8455
Other practice location 3
47915 Oasis St
Indio, CA 92201-6950
Phone (760) 863-7519
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | elizabeth.vanegas@desertsands.us | Direct |
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 |
|---|---|---|---|
| 102559 | CA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mind & Balance Counseling Services Inc | Current | Accepting new patients | |
| Desert Sands Unified School District | Current | Accepting new patients |
Locations
47950 Dune Palms Rd
La Quinta, CA 92253
Phone (760) 238-9770
78150 Calle Tampico
Ste 200M
La Quinta, CA 92253
Organizations & group practices 2
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.
-
- Mental Health Counselor
- La Quinta, CA
- NPI 1649011867
-
- Local Education Agency (LEA)
- La Quinta, CA
- NPI 1932710241
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680048000000",
"number": "1750729208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41660 DORE ST",
"city": "INDIO",
"state": "CA",
"postal_code": "922033069",
"telephone_number": "760-537-3857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47950 DUNE PALMS RD",
"city": "LA QUINTA",
"state": "CA",
"postal_code": "922534000",
"telephone_number": "760-775-3800"
}
],
"practiceLocations": [
{
"address_1": "47950 Dune Palms Rd",
"address_purpose": "LOCATION",
"city": "LA Quinta",
"state": "CA",
"postal_code": "922534000",
"country_code": "US",
"telephone_number": "760-844-4595",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "47825 Oasis St",
"address_purpose": "LOCATION",
"city": "Indio",
"state": "CA",
"postal_code": "922016950",
"country_code": "US",
"telephone_number": "760-863-8455",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "47915 Oasis St",
"address_purpose": "LOCATION",
"city": "Indio",
"state": "CA",
"postal_code": "922016950",
"country_code": "US",
"telephone_number": "760-863-7519",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VANEGAS",
"first_name": "ELIZABETH",
"middle_name": "JACKELINE",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-06",
"last_updated": "2023-03-29",
"certification_date": "2023-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "102559",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "elizabeth.vanegas@desertsands.us",
"affiliation": "N",
"endpointDescription": "ERMHs",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "No",
"address_1": "47950 Dune Palms Rd",
"city": "LA Quinta",
"state": "CA",
"country_code": "US",
"postal_code": "922534000",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in La Quinta, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.