Individual provider Active NPI

Leslie Elizalde, LMFT

  • Marriage & Family Therapist
  • Lake Elsinore, CA
National Provider Identifier
1912575622
Registry record updated Sep 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
157618 Issued in CA
Practice address
31946 Mission TRL Ste B
Lake Elsinore, CA 92530-4539
Phone
(951) 245-7663
Fax
(951) 245-7717
NPI assigned
Jun 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2025

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 157618 CA Primary

Addresses

Primary practice location

31946 Mission TRL Ste B
Lake Elsinore, CA 92530-4539

Mailing address

31946 Mission TRL Ste B
Lake Elsinore, CA 92530-4539
Phone (951) 539-5476

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Lelizald@rivco.org 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

LicenseStateTypeSpecialty
157618CAMDMarriage & Family Therapist

Interoperability endpoints

  • Direct secure messaging: lelizald@rivco.org

NPI Registry JSON

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

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757116800000",
    "number": "1912575622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31946 MISSION TRL STE B",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925304539",
            "telephone_number": "951-539-5476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31946 MISSION TRL STE B",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925304539",
            "telephone_number": "951-245-7663",
            "fax_number": "951-245-7717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIZALDE",
        "first_name": "LESLIE",
        "name_prefix": "Miss",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-17",
        "last_updated": "2025-09-06",
        "certification_date": "2025-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "157618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Lelizald@rivco.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "31946 Mission Trl Ste B",
            "city": "Lake Elsinore",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925304539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 6, 2025; 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.