SANDRA HERNANDEZ BALLESTEROS
NPI 1104183458
Marriage & Family Therapist in Lake Elsinore, CA

Q: What is Sandra Hernandez Ballesteros's NPI number?

The NPI number for Sandra Hernandez Ballesteros is 1104183458. It was assigned to this individual provider in the NPPES registry on April 11, 2012.

Q: What is Sandra Hernandez Ballesteros's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: Is Sandra Hernandez Ballesteros enrolled in Medicare?

No. Sandra Hernandez Ballesteros has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Active since April 11, 2012Opted out of Medicare · through Jan 1, 2028

31946 MISSION TRL STE B, LAKE ELSINORE, CA 92530(951) 471-4300 Get Directions Write a Review

NPPES record last updated: September 30, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 30, 2016, Feb 1, 2016 (2 updates tracked since 2016).

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About Sandra Hernandez Ballesteros NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANDRA HERNANDEZ BALLESTEROS (NPI 1104183458) is an individual marriage & family therapist in Lake Elsinore, California and active in the NPI registry since April 2012. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1104183458

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameSANDRA HERNANDEZ BALLESTEROS

Location Address31946 MISSION TRL STE BLake Elsinore, CA 92530-4539

Mailing Address31946 Mission Trl Ste BLake Elsinore, CA 92530-4539 · (951) 471-4300

Phone(951) 471-4300

Sole ProprietorNo

Enumeration DateApril 11, 2012

Last NPPES UpdateSeptember 30, 20162 updates tracked since enumeration

✔ NPI 1104183458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

Definition

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.

31946 MISSION TRL STE B, Lake Elsinore, CA 92530

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Sandra Hernandez Ballesteros has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024

Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARMINA HERNANDEZ

Case Manager/Care Coordinator