Active NPI
Cheryl L Maiden, MFT
- Marriage & Family Therapist
- Lake Elsinore, CA
National Provider Identifier
1144693045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 143228
- Practice address
- 252 N Main St
Lake Elsinore, CA 92530-4012 - Phone
- (951) 318-1351
- NPI assigned
- Nov 2, 2015
- 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 | 143228 | CA | Primary |
Addresses
Primary practice location
252 N Main St
Lake Elsinore, CA 92530-4012
Mailing address
601 N Kirby St SPC 226
Hemet, CA 92545-5928
Phone (951) 665-2911
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 143228 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Corc Family Counseling Corporation | Marriage & Family Therapist | Current | Accepting new patients |
| Corc Family Counseling Corporation | Marriage & Family Therapist | Current | Accepting new patients |
Locations
252 N Main St
Lake Elsinore, CA 92530
Phone (951) 318-1351
Organizations & group practices 2
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.
-
- Marriage & Family Therapist
- Lake Elsinore, CA
- NPI 1538542352
-
- Marriage & Family Therapist
- Lake Elsinore, CA
- NPI 1972942191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704672000000",
"number": "1144693045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 N KIRBY ST SPC 226",
"city": "HEMET",
"state": "CA",
"postal_code": "925455928",
"telephone_number": "951-665-2911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "252 N MAIN ST",
"city": "LAKE ELSINORE",
"state": "CA",
"postal_code": "925304012",
"telephone_number": "951-318-1351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAIDEN",
"first_name": "CHERYL",
"middle_name": "L",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-02",
"last_updated": "2024-01-08",
"certification_date": "2023-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "143228",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Elsinore, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.