ELIZABETH BASULTO
NPI 1265948087
Marriage & Family Therapist in Victorville, CA

Active since December 15, 2017
15095 AMARGOSA RD, VICTORVILLE, CA 92394(760) 245-4695 Get Directions Write a Review

NPPES record last updated: August 30, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 16, 2025, Aug 30, 2022, Apr 5, 2021 and 4 more (7 updates tracked since 2017).

About Elizabeth Basulto NPPES

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

ELIZABETH BASULTO (NPI 1265948087) is an individual marriage & family therapist in Victorville, California, licensed in California (AMFT124251) and active in the NPI registry since December 2017.

NPPES Registry Identity

NPI1265948087
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameELIZABETH BASULTO
Location Address15095 AMARGOSA RDVictorville, CA 92394-1879
Mailing Address15095 Amargosa RdVictorville, CA 92394-1879
Sole ProprietorYes
Enumeration DateDecember 15, 2017
Last NPPES UpdateAugust 30, 20227 updates tracked since enumeration
NPPES CertifiedAugust 30, 2022
NPI 1265948087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in CA · AMFT124251
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.
15095 AMARGOSA RD, Victorville, CA 92394

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.

Community Health Worker
15095 AMARGOSA RD
VICTORVILLE, CA 92394
Counselor
15095 AMARGOSA RD, SUITE 101
VICTORVILLE, CA 92394
Case Manager/Care Coordinator
15095 AMARGOSA RD
VICTORVILLE, CA 92394
Counselor (Mental Health)
15095 AMARGOSA RD, SUITE 201
VICTORVILLE, CA 92394
Counselor (Mental Health)
15095 AMARGOSA RD, SUITE 201
VICTORVILLE, CA 92394
Peer Specialist
15095 AMARGOSA RD
VICTORVILLE, CA 92394
Day Training/Habilitation Specialist
15095 AMARGOSA RD
VICTORVILLE, CA 92394
Marriage & Family Therapist
15095 AMARGOSA RD, SUITE 208
VICTORVILLE, CA 92394

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 Elizabeth Basulto's NPI number?

The NPI number for Elizabeth Basulto is 1265948087. It was assigned to this individual provider in the NPPES registry on December 15, 2017.

Where is Elizabeth Basulto located?

Elizabeth Basulto practices at 15095 Amargosa Rd, Victorville, CA 92394. The listed phone number is (760) 245-4695.

What is Elizabeth Basulto's specialty?

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

When was this NPI record last updated?

The NPPES record for Elizabeth Basulto was last updated on August 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.