Individual provider Active NPI

Josilyn Wick Coronel, M.S., LMFT 114807

  • Marriage & Family Therapist
  • Long Beach, CA
National Provider Identifier
1043755366
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
114807 Issued in CA
Practice address
3868 Alberan Ave
Long Beach, CA 90808-2231
Phone
(951) 492-1303
NPI assigned
Dec 21, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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 114807 CA Primary

Addresses

Primary practice location

3868 Alberan Ave
Long Beach, CA 90808-2231

Mailing address

3868 Alberan Ave
Long Beach, CA 90808-2231
Phone (951) 492-1303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
114807CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1482278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1043755366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3868 ALBERAN AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908082231",
            "telephone_number": "951-492-1303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3868 ALBERAN AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908082231",
            "telephone_number": "951-492-1303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICK CORONEL",
        "first_name": "JOSILYN",
        "name_prefix": "Mrs.",
        "credential": "M.S., LMFT 114807",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-21",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "114807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.