Active NPI
Beth Corrick, MFT
- Marriage & Family Therapist
- San Diego, CA
National Provider Identifier
1093019390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC 46498
- Practice address
- 12526 High Bluff Dr Ste 300
San Diego, CA 92130-2067 - Phone
- (858) 699-1497
- NPI assigned
- Dec 29, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC 46498 | CA | Primary |
Addresses
Primary practice location
12526 High Bluff Dr Ste 300
San Diego, CA 92130-2067
Mailing address
1968 S Coast Hwy # 5214
Laguna Beach, CA 92651-3681
Phone (858) 699-1497
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 11, 2024 through Jan 11, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC 46498 | CA | MD | Marriage & Family Therapist |
| 46498 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1293580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675814400000",
"number": "1093019390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1968 S COAST HWY # 5214",
"city": "LAGUNA BEACH",
"state": "CA",
"postal_code": "926513681",
"telephone_number": "858-699-1497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12526 HIGH BLUFF DR STE 300",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921302067",
"telephone_number": "858-699-1497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORRICK",
"first_name": "BETH",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-12-29",
"last_updated": "2023-02-08",
"certification_date": "2023-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC 46498",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.