MR. ANDY R MORENO (NPI# 1043646383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043646383 |
| Entity Type | Individual |
| Full Name | MR. ANDY R MORENO |
| Credential | MFTI, RASI |
| Practice Address |
7790 Big Rock Dr. Riverside CA 92509 |
| Practice Telephone | 9515004497 |
| Mailing Telephone | 9515004497 |
| Enumeration Date | 2013-09-18 |
| Last Update Date | 2013-09-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
RI-M1305212002 | CA | Behavioral Health & Social Service Providers |
| Y | 106H00000X | Marriage & Family Therapist | IMF 65612 | CA | Behavioral Health & Social Service Providers |
| Street Address |
7790 BIG ROCK DR. |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720530744 | Leesette De Santiago | Dental Assistant | 6130 Camino Real #12, Riverside, CA 92509 | 2016-10-25 |
| 1275845018 | Myra Agnes Harrison | Pharmacist | 8015 Limonete, Rite Aid, Riverside, CA 92509 | 2010-07-09 |
| 1740424415 | Lin Chew Ota | Obstetrics & Gynecology | 6250 Clay Street, Riverside, CA 92509 | 2009-04-27 |
| 1164660106 | Ramona Jean Carver | Marriage & Family Therapist | 5790 Magnolia Ave., Ste 202, Riverside, CA 92509 | 2009-01-29 |
| 1568627925 | Lisa Anne Razo | Marriage & Family Therapist | 6580 45th St, Riverside, CA 92509 | 2008-07-25 |
| 1215106810 | Xia L. Liu Professional Dentl Corp | Dentist | 8880 Limonite Ave, Pedley, CA 92509 | 2008-02-27 |
| 1467658385 | Riverside County Rubidoux Pharmacy | Pharmacy | 5256 Mission Ave, Rubidoux, CA 92509 | 2007-06-26 |
| 1366644429 | Cynthia Stover | Physician Assistant | 5256 Mission Boulevard, Riverside, CA 92509 | 2007-06-01 |
| 1942327499 | Sober Living By The Sea, Inc | Substance Abuse Rehabilitation Facility | 6690 Limonite Frontage Rd, Riverside, CA 92509 | 2007-03-22 |
| 1124154513 | Glenn Wesley Stevens | Dentist | 4955 K Felspar St, Riverside, CA 92509 | 2007-02-27 |
| Find all providers in zip 92509 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029799 | Buchanan Family Foundation | Marriage & Family Therapist | 1410 3rd St Ste 12, Riverside, CA 92507-3422 | 2020-10-06 |
| 1801401211 | Sachin Kumar Mathur | Marriage & Family Therapist | 10934 Elkwood Cir, Riverside, CA 92503-5286 | 2020-09-11 |
| 1144839770 | Edgar Diaz Garcia | Marriage & Family Therapist | 5995 Palm Ave Apt I, Riverside, CA 92506-1912 | 2020-07-29 |
| 1417573676 | Chloe Ivana Licon | Marriage & Family Therapist | New Beginnings Residential Treatment Facilities, 2900 Adams St, Riverside, CA 92504 | 2020-06-23 |
| 1497381743 | Melissa Cherie Sanders | Marriage & Family Therapist | 5225 Canyon Crest Dr Ste 71-107, Riverside, CA 92507-6301 | 2020-03-19 |
| 1992330088 | Angie Garita | Marriage & Family Therapist | 8939 Christopher Pl, Riverside, CA 92503-3303 | 2020-03-09 |
| 1467086082 | Melanie Joy Harriss | Marriage & Family Therapist | 11801 Pierce St # 222, Riverside, CA 92505-4408 | 2020-02-24 |
| 1487296059 | Catherine Parra Haynes | Marriage & Family Therapist | 4344 Latham St, Riverside, CA 92501-0400 | 2019-10-15 |
| 1255973889 | Kimberly Ann Lloyd | Marriage & Family Therapist | 8625 Orchard Park Dr, Riverside, CA 92508-2984 | 2019-10-15 |
| 1255985248 | County of Riverside Mental Health | Marriage & Family Therapist | 3125 Myers St Bldg 2, Riverside, CA 92503-5527 | 2019-07-29 |
| Find all providers in RIVERSIDE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.