Individual provider Active NPI

Jael Huizar

  • Marriage & Family Therapist
  • Riverside, CA
National Provider Identifier
1841601507
Registry record updated Jul 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
121894 Issued in CA
Practice address
4020 Chicago Ave Unit 2114
Riverside, CA 92507-5340
Phone
(951) 465-7761
NPI assigned
May 15, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2026

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 102118 CA
Marriage & Family Therapist 106H00000X 121894 CA Primary
Marriage & Family Therapist 106H00000X CA

Addresses

Primary practice location

4020 Chicago Ave Unit 2114
Riverside, CA 92507-5340

Mailing address

4020 Chicago Ave Unit 2114
Riverside, CA 92507-5340
Phone (951) 465-7761

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260211002935 CA Practitioner - Marriage and Family Therapist 0749769537 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mindshift Psychological Services IncGroup PAC ID 8123563491, 5 clinicians

Practice addresses (Care Compare)

1101 California Ave
Suite 100
Corona, CA 92881-6472
Phone (714) 584-9700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
121894CAMDMarriage & Family Therapist
102118CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Mindshift Psychological Services Inc Mental Health CurrentSince Dec 7, 2025 Accepting new patients
Jael Huizar, Marriage and Family Therapist, a Professional Corporation Marriage & Family Therapist CurrentSince Dec 21, 2025 Accepting new patients

Locations

1101 California Ave
Corona, CA 92881
Phone (562) 250-7373

1101 California Ave
Ste 100
Corona, CA 92881
Phone (714) 584-9700

4020 Chicago Ave
Riverside, CA 92507
Phone (888) 882-2290

11731 Sterling Ave
Ste B
Riverside, CA 92503
Phone (714) 527-9700

Organizations & group practices 3

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": "1400112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784419200000",
    "number": "1841601507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 CHICAGO AVE UNIT 2114",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925075340",
            "telephone_number": "951-465-7761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 CHICAGO AVE UNIT 2114",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925075340",
            "telephone_number": "951-465-7761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUIZAR",
        "first_name": "JAEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-15",
        "last_updated": "2026-07-19",
        "certification_date": "2026-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "102118",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "121894",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.