| Family Talk Therapy Center | |
|
19322 Jesse Ln Ste 100 And 200 Riverside CA 92508-5091 | |
| (951) 387-4040 | |
| (951) 398-3144 |
| Full Name | Family Talk Therapy Center |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 19322 Jesse Ln Ste 100 And 200, Riverside, California |
| Authorized Official Name and Position | Jason Scott Temple (OWNER/THERAPIST) |
| Authorized Official Contact | 9513874040 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Talk Therapy Center 19322 Jesse Ln Ste 200 Riverside CA 92508-5072 Ph: (951) 387-4040 | Family Talk Therapy Center 19322 Jesse Ln Ste 100 And 200 Riverside CA 92508-5091 Ph: (951) 387-4040 |
| NPI Number | 1174089411 |
|---|---|
| Provider Enumeration Date | 02/12/2019 |
| Last Update Date | 04/17/2025 |
| Certification Date | 04/17/2025 |
| Medicare PECOS PAC ID | 9436677234 |
|---|---|
| Medicare Enrollment ID | O20250515002056 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174089411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Heather Edwall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972982775 PECOS PAC ID: 2769726256 Enrollment ID: I20181211001287 |
| Provider Name | Coleen Deermer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134854094 PECOS PAC ID: 5698159044 Enrollment ID: I20220902000203 |
| Provider Name | Jason S Temple |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1932588076 PECOS PAC ID: 0345768149 Enrollment ID: I20250515002392 |
| Provider Name | Rachel Renee Leal |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1679110837 PECOS PAC ID: 1456870765 Enrollment ID: I20250529001510 |
| Provider Name | Nicole Renae Cuahutle |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1104489210 PECOS PAC ID: 8527587831 Enrollment ID: I20250529001586 |
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