Individual provider Active NPI

Lona Renee Misouria

  • Marriage & Family Therapist
  • La Mesa, CA
National Provider Identifier
1861089880
Registry record updated Dec 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
AMFT122902 Issued in CA
Practice address
4990 Williams Ave
La Mesa, CA 91942-7409
Phone
(619) 668-4265
Fax
(619) 668-4264
NPI assigned
Dec 23, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X AMFT122902 CA Primary

Addresses

Primary practice location

4990 Williams Ave
La Mesa, CA 91942-7409

Mailing address

8910 Clairemont Mesa Blvd
San Diego, CA 92123-1104
Phone (858) 514-5144

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
I20250820003363 CA Practitioner - Marriage and Family Therapist 5395245831 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Thriveworks Clinical - California PCGroup PAC ID 1759785645, 55 clinicians

Practice addresses (Care Compare)

731 N Beach Blvd
Suite 140
La Habra, CA 90631-3689
Phone (855) 284-7483

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AMFT122902CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Thriveworks Clinical - California PC CurrentSince Jul 6, 2025 Accepting new patients

Locations

2020 Milvia St
Ste 200
Berkeley, CA 94704
Phone (209) 689-2669

18652 Florida St
Ste 245
Huntington Beach, CA 92648
Phone (714) 698-3460

731 N Beach Blvd
Ste 140
La Habra, CA 90631
Phone (562) 303-5925

116 S Catalina Ave
Ste 109
Redondo Beach, CA 90277
Phone (617) 454-4916

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

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": "1608681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608681600000",
    "number": "1861089880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8910 CLAIREMONT MESA BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231104",
            "telephone_number": "858-514-5144",
            "fax_number": "858-514-5195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4990 WILLIAMS AVE",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919427409",
            "telephone_number": "619-668-4265",
            "fax_number": "619-668-4264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISOURIA",
        "first_name": "LONA",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-23",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT122902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

Verify at the official NPI Registry.