Individual provider Active NPI

Rachael L Morua, LMFT

  • Marriage & Family Therapist
  • Corona, CA
National Provider Identifier
1124594106
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
106917 Issued in CA
Practice address
1101 California Ave Ste 100
Corona, CA 92881-6472
Phone
(714) 584-9700
NPI assigned
Oct 17, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Group Psychotherapy PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TP2701X LMFT106917 CA
Marriage & Family Therapist 106H00000X 106917 CA Primary

Addresses

Primary practice location

1101 California Ave Ste 100
Corona, CA 92881-6472

Mailing address

1101 California Ave Ste 100
Corona, CA 92881-6472
Phone (714) 584-9700

Other practice location 1

11731 Sterling Ave Ste B
Riverside, CA 92503-4958
Phone (714) 584-9700

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
I20240710004603 CA Practitioner - Marriage and Family Therapist 9032654306 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mindshift Psychological Services IncGroup PAC ID 8123563491, 5 clinicians

Practice addresses (Care Compare)

1101 California Ave
Suite 100
Corona, CA 92881-6472
Phone (714) 584-9700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMFT106917CAMDGroup Psychotherapy Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mindshift Psychological Services Inc Marriage & Family Therapist CurrentSince May 19, 2024 Accepting new patients

Locations

1101 California Ave
Ste 100
Corona, CA 92881
Phone (714) 584-9700

11633 San Vicente Blvd
Ste 314
Los Angeles, CA 90049
Phone (310) 207-0020

4000 MacArthur Blvd
Fl 6
Newport Beach, CA 92660
Phone (714) 393-3100

11731 Sterling Ave
Ste B
Riverside, CA 92503
Phone (714) 527-9700

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": "1539734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1124594106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 CALIFORNIA AVE STE 100",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928816472",
            "telephone_number": "714-584-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 CALIFORNIA AVE STE 100",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928816472",
            "telephone_number": "714-584-9700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11731 Sterling Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925034958",
            "country_code": "US",
            "telephone_number": "714-584-9700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORUA",
        "first_name": "RACHAEL",
        "middle_name": "L",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-17",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "CA",
            "license": "LMFT106917",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "106917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

Verify at the official NPI Registry.