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JOHANNES WATTIMENA
NPI 1215419668
Counselor in Moreno Valley, CA

Active since September 02, 2018
26624 SAFFRON CIRCLE, MORENO VALLEY, CA 92555(951) 485-0423 Get Directions Write a Review

NPPES record last updated: September 26, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 26, 2018, Sep 2, 2018 (2 updates tracked since 2018).

About Johannes Wattimena NPPES

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

JOHANNES WATTIMENA (NPI 1215419668) is an individual counselor in Moreno Valley, California and active in the NPI registry since September 2018.

NPPES Registry Identity

NPI1215419668
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameJOHANNES WATTIMENA
Location Address26624 SAFFRON CIRCLEMoreno Valley, CA 92555
Mailing Address26624 Saffron CircleMoreno Valley, CA 92555
Phone(951) 485-0423
Sole ProprietorNo
Enumeration DateSeptember 2, 2018
Last NPPES UpdateSeptember 26, 20182 updates tracked since enumeration
✔ NPI 1215419668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
26624 SAFFRON CIRCLE, Moreno Valley, CA 92555
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Johannes Wattimena's NPI number?

The NPI number for Johannes Wattimena is 1215419668. It was assigned to this individual provider in the NPPES registry on September 2, 2018.

Where is Johannes Wattimena located?

Johannes Wattimena practices at 26624 Saffron Circle, Moreno Valley, CA 92555. The listed phone number is (951) 485-0423.

What is Johannes Wattimena's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Johannes Wattimena was last updated on September 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.