Active NPI
Makenna Hindson
- Marriage & Family Therapist
- Lake Elsinore, CA
National Provider Identifier
1790465292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 265 San Jacinto River Rd Ste 107
Lake Elsinore, CA 92530-4400 - Phone
- (951) 674-9243
- NPI assigned
- Jul 19, 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 | Primary |
Addresses
Primary practice location
265 San Jacinto River Rd Ste 107
Lake Elsinore, CA 92530-4400
Mailing address
1105 E Florida Ave
Hemet, CA 92543-4512
Phone (951) 719-5805
Other practice location 1
801 Corporate Center Dr
Pomona, CA 91768-2628
Phone (909) 766-7060
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": "1689724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726617600000",
"number": "1790465292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1105 E FLORIDA AVE",
"city": "HEMET",
"state": "CA",
"postal_code": "925434512",
"telephone_number": "951-719-5805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "265 SAN JACINTO RIVER RD STE 107",
"city": "LAKE ELSINORE",
"state": "CA",
"postal_code": "925304400",
"telephone_number": "951-674-9243"
}
],
"practiceLocations": [
{
"address_1": "801 Corporate Center Dr",
"address_purpose": "LOCATION",
"city": "Pomona",
"state": "CA",
"postal_code": "917682628",
"country_code": "US",
"telephone_number": "909-766-7060",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HINDSON",
"first_name": "MAKENNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-07-19",
"last_updated": "2024-09-18",
"certification_date": "2024-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Elsinore, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.