Individual provider Active NPI

Tanisha Simpson

  • Marriage & Family Therapist
  • Moreno Valley, CA
National Provider Identifier
1932687613
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
116984 Issued in CA
Practice address
11875 Pigeon Pass Rd Ste B13
Moreno Valley, CA 92557-6044
Phone
(951) 801-9387
NPI assigned
Aug 3, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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 116984 CA Primary

Addresses

Primary practice location

11875 Pigeon Pass Rd Ste B13
Moreno Valley, CA 92557-6044

Mailing address

3200 E Guasti Rd Ste 100
Ontario, CA 91761-8661
Phone (310) 686-3884

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
I20250326002349 CA Practitioner - Marriage and Family Therapist 9537682927

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
97974CAMDSocial Worker
116984CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Village Mental Health Group Therapy and Family Counseling Corp Marriage & Family Therapist CurrentSince Nov 22, 2024 Accepting new patients
The Village Community and Family Ervices Marriage & Family Therapist Current Accepting new patients

Locations

506 S Spring St
Unit 13308
Los Angeles, CA 90013
Phone (310) 564-6749

11875 Pigeon Pass Rd
Ste B13
Moreno Valley, CA 92557

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1533254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1932687613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 E GUASTI RD STE 100",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917618661",
            "telephone_number": "310-686-3884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11875 PIGEON PASS RD STE B13",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925576044",
            "telephone_number": "951-801-9387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "TANISHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-03",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "116984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moreno Valley, CA

Sources for this page

Verify at the official NPI Registry.