Jessica Corona Rizo

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

140376 Issued in CA

Practice address

2640 Industry Way Ste G
Lynwood, CA 90262-4000

Phone

(310) 631-9763

NPI assigned

Jan 25, 2022

Last updated

Jul 12, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Project Impact Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lynwood, CA
  • NPI 1285330407
  NPD
• Project Impact Inc.

  • Community/Behavioral Health Agency
  • Lynwood, CA
  • NPI 1801092952
  NPD (past)

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

{
    "created_epoch": "1643068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1124770631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 INDUSTRY WAY STE G",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902624000",
            "telephone_number": "310-631-9763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 INDUSTRY WAY STE G",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902624000",
            "telephone_number": "310-631-9763"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11721 Telegraph Rd",
            "address_purpose": "LOCATION",
            "city": "Santa Fe Springs",
            "state": "CA",
            "postal_code": "906703674",
            "country_code": "US",
            "telephone_number": "562-949-8455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORONA RIZO",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-25",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "140376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coral Oaks Care Living, Inc
• Shaina Corbett, LVN
• Esmeralda Corcoles
• Sarah Alexis Cormier
• Beatriz Cornejo
• Daisy Corona
• Corp of Shahgaldian Dental Inc.
• Romona M Correa
• Nathalie Cortez Lopez
• Evelyn Marina Cortez

• Marriage & Family Therapist in Lynwood, CA
• Providers in Lynwood, 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 Jul 12, 2023; 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.