Healthcare Provider Details

I. General information

NPI: 1114235561
Provider Name (Legal Business Name): ANDREA RIEDELSHEIMER LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/20/2010
Last Update Date: 02/18/2026
Certification Date: 02/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11801 PIERCE ST
RIVERSIDE CA
92505-4408
US

IV. Provider business mailing address

7216 CITY LIGHTS DR
ALISO VIEJO CA
92656-2671
US

V. Phone/Fax

Practice location:
  • Phone: 949-991-8505
  • Fax:
Mailing address:
  • Phone: 949-991-8505
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: