Organization Active NPI

Judy Benvenuto Marriage and Family Therapy Inc

  • Marriage & Family Therapist
  • Tustin, CA
National Provider Identifier
1992319461
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
JUDY BENVENUTO MARRIAGE AND FAMILY THERAPY INC
Practice address
250 El Camino Real Ste 213
Tustin, CA 92780-3656
Phone
(714) 393-1891
Fax
(714) 805-6519
NPI assigned
Sep 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Authorized official

Name
Judith C Benvenuto, LMFTNPI 1023495033
Title
Owner
Phone
(714) 393-1891

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

250 El Camino Real Ste 213
Tustin, CA 92780-3656

Mailing address

250 El Camino Real Ste 213
Tustin, CA 92780-3656
Phone (714) 393-1891

Other names 1

  • The Well Therapy Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260220001547 CA Part B Supplier - Clinic/Group Practice 8820579519 Receives reassigned benefits from 6 practitioners
Practice locations: Tustin, CA

National Provider Directory

National Provider Directory

Locations

540 N Golden Circle Dr
Ste 112
Santa Ana, CA 92705
Phone (408) 600-4087

250 El Camino Real
Ste 213
Tustin, CA 92780
Phone (714) 393-1891

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765497600000",
    "number": "1992319461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 EL CAMINO REAL STE 213",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803656",
            "telephone_number": "714-393-1891",
            "fax_number": "714-805-6519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 EL CAMINO REAL STE 213",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803656",
            "telephone_number": "714-393-1891",
            "fax_number": "714-805-6519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDY BENVENUTO MARRIAGE AND FAMILY THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-02",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A",
        "authorized_official_last_name": "BENVENUTO",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-393-1891",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Well Therapy Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.