Individual provider Active NPI

Patricia P Correa, PHD, MFT

  • Marriage & Family Therapist
  • Calabasas, CA
National Provider Identifier
1013948207
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC34844 Issued in CA
Practice address
4505 Las Virgenes Rd
Suite 204
Calabasas, CA 91302-1956
Phone
(818) 871-9500
Fax
(818) 871-9550
NPI assigned
Jul 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC34844 CA Primary

Addresses

Primary practice location

4505 Las Virgenes Rd
Suite 204
Calabasas, CA 91302-1956

Mailing address

4505 Las Virgenes Rd
Suite 204
Calabasas, CA 91302-1956
Phone (818) 871-9500

Other practice location 1

3160 Telegraph Rd Ste 200
Ventura, CA 93003-3250
Phone (805) 642-4611

Other identifiers 2

IdentifierTypeStateIssuer
11413912OtherCACAQH
800687203MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240401002918 CA Practitioner - Marriage and Family Therapist 7315385077 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1996
Medicare assignment
May accept Medicare assignment
Group practices
Beachside Adult and Family Therapy IncGroup PAC ID 3870930035, 7 clinicians

Practice addresses (Care Compare)

3160 Telegraph Rd
Suite 200
Ventura, CA 93003-3250
Phone (805) 642-4611

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MFC34844CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Beachside Adult and Family Therapy Inc Marriage & Family Therapist CurrentSince Jan 22, 2024 Accepting new patients

Locations

3160 Telegraph Rd
Ste 200
Ventura, CA 93003
Phone (805) 620-0346

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1013948207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4505 LAS VIRGENES RD",
            "address_2": "SUITE 204",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021956",
            "telephone_number": "818-871-9500",
            "fax_number": "818-871-9550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 LAS VIRGENES RD",
            "address_2": "SUITE 204",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021956",
            "telephone_number": "818-871-9500",
            "fax_number": "818-871-9550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3160 Telegraph Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Ventura",
            "state": "CA",
            "postal_code": "930033250",
            "country_code": "US",
            "telephone_number": "805-642-4611",
            "fax_number": "805-585-3241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORREA",
        "first_name": "PATRICIA",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "PHD, MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC34844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11413912",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "800687203",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Calabasas, CA

Sources for this page

Verify at the official NPI Registry.