Matthew Cowan, MFTI

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

IMF88965 Issued in CA

Practice address

920 Glenneyre St Ste T
Laguna Beach, CA 92651-2740

Phone

(877) 279-1777

NPI assigned

Oct 9, 2015

Last updated

Oct 9, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Oceanfront Recovery

  • Substance Abuse Rehabilitation Facility
  • Laguna Beach, CA
  • NPI 1700276334
  NPD (past)

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

{
    "created_epoch": "1444348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444348800000",
    "number": "1124499611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26921 LA ALAMEDA APT 3306",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926917375",
            "telephone_number": "949-280-6576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 GLENNEYRE ST STE T",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926512740",
            "telephone_number": "877-279-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWAN",
        "first_name": "MATTHEW",
        "credential": "MFTI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-09",
        "last_updated": "2015-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF88965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cosmetic Surgery Clinics
• Cynthia J.E. Costa, D.C.
• Jemma Coster
• County of Orange (CYS South Region Wesley)
• Erica Cowan, ND
• Christine Arbuthnot Craddock, CRNA
• Miranda Craik, LCSW
• Emily Crick
• Timothy James Crilly, ATC, EMT
• Jeffrey John Crudo, M.D.

• Marriage & Family Therapist in Laguna Beach, CA
• Providers in Laguna Beach, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2015; 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.