Individual provider Active NPI

Emily Corner

  • Marriage & Family Therapist
  • San Marcos, CA
National Provider Identifier
1093225823
Registry record updated Sep 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
102353 Issued in CA
Practice address
1580 Calle Devanar
San Marcos, CA 92078-7220
Phone
(858) 382-8802
NPI assigned
Oct 6, 2017
Last updated
Sep 25, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 102353 CA
Marriage & Family Therapist 106H00000X 102353 CA Primary

Addresses

Primary practice location

1580 Calle Devanar
San Marcos, CA 92078-7220

Mailing address

1580 Calle Devanar
San Marcos, CA 92078-7220
Phone (858) 382-8802

Other practice location 1

300 Rancheros Dr Ste 130
San Marcos, CA 92069-2968
Phone (858) 279-1223

Other names 1

  • Miss Emily Ha Former name

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
I20241115000047 CA Practitioner - Marriage and Family Therapist 3173933504 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
102353CAMDMarriage & Family Therapist

Interoperability endpoints

  • Direct secure messaging: psycareassociates.emilycorner@143255.advancedmd-direct.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1507248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600992000000",
    "number": "1093225823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 CALLE DEVANAR",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920787220",
            "telephone_number": "858-382-8802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 CALLE DEVANAR",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920787220",
            "telephone_number": "858-382-8802"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Rancheros Dr Ste 130",
            "address_purpose": "LOCATION",
            "city": "San Marcos",
            "state": "CA",
            "postal_code": "920692968",
            "country_code": "US",
            "telephone_number": "858-279-1223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORNER",
        "first_name": "EMILY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-06",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "102353",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "102353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "HA",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Marcos, CA

Sources for this page

Verify at the official NPI Registry.