LISA MARIE VIGIL RADT
NPI 1396615290
Counselor - Addiction (Substance Use Disorder) in Moreno Valley, CA

Active since November 06, 2025
14340 ELSWORTH ST STE 108, MORENO VALLEY, CA 92553(951) 419-7738 Get Directions Write a Review

NPPES record last updated: November 6, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lisa Marie Vigil Radt NPPES

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

LISA MARIE VIGIL RADT (NPI 1396615290) is an individual addiction (substance use disorder) provider in Moreno Valley, California, licensed in California (15049-RAC) and active in the NPI registry since November 2025. She maintains 3 additional practice locations.

NPPES Registry Identity

NPI1396615290
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameLISA MARIE VIGILCredential: RADT
Location Address14340 ELSWORTH ST STE 108Moreno Valley, CA 92553-9020
Mailing Address25898 Pumalo StSan Bernardino, CA 92404-3470 · (909) 844-7268
Sole ProprietorYes
Enumeration DateNovember 6, 2025
NPPES CertifiedNovember 6, 2025
NPI 1396615290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in CA · 15049-RAC
14340 ELSWORTH ST STE 108, Moreno Valley, CA 92553

Secondary Practice Locations 3

Location 1835 Anira CtPerris, CA 92571-5113 · Phone (951) 419-7738
Location 213941 Courage StMoreno Valley, CA 92553-8757 · Phone (951) 419-7738
Location 313921 Courage StMoreno Valley, CA 92553-8757 · Phone (951) 419-7738

Other Providers at the Same Location NPPES

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

Counselor (Addiction (Substance Use Disorder))
14340 ELSWORTH ST STE 108
MORENO VALLEY, CA 92553

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 Lisa Vigil's NPI number?

The NPI number for Lisa Vigil is 1396615290. It was assigned to this individual provider in the NPPES registry on November 6, 2025.

Where is Lisa Vigil located?

Lisa Vigil practices at 14340 Elsworth St Ste 108, Moreno Valley, CA 92553. The listed phone number is (951) 419-7738.

What is Lisa Vigil's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Lisa Vigil was last updated on November 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.