MEDICARE: ANDREA RIEDELSHEIMER LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1114235561
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREA RIEDELSHEIMER LMFT

Provider Business Mailing Address
First Line	:	7216 CITY LIGHTS DR
Second Line	:
City	:	ALISO VIEJO
State	:	CA
Zip	:	92656-2671
Country	:	US
Telephone Number	:	949-991-8505
Fax Number	:

Provider Business Practice Location Address
First Line	:	11801 PIERCE ST
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92505-4408
Country	:	US
Telephone Number	:	949-991-8505
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2010
Last Update Date	:	02/18/2026

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