Mary Carmen Cortez

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

AMFT146221 Issued in CA

Practice address

23121 Verdugo Dr
Laguna Hills, CA 92653-1339

Phone

(949) 520-2720

NPI assigned

Apr 3, 2023

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

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

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1144925926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 BROADWAY STE 207",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919112767",
            "telephone_number": "619-425-5609",
            "fax_number": "619-425-8349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23121 VERDUGO DR",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531339",
            "telephone_number": "949-520-2720"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1105 Broadway Ste 207",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919112767",
            "country_code": "US",
            "telephone_number": "619-425-5609",
            "fax_number": "619-425-8349",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORTEZ",
        "first_name": "MARY",
        "middle_name": "CARMEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-03",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "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": "AMFT146221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corral Management, LLC
• Lori Marina Corrente
• Peter Corso
• Viviana Cortes
• Kenith Cortez
• Joao Pedro Costa
• Steven Jon Costales, D.C., M.S., A.T.C.
• Christy Sue Costeniero, DPT
• Sylvie Cote, PH.D.
• Heidi Marie Cough, M.D.

• Marriage & Family Therapist in Laguna Hills, CA
• Providers in Laguna Hills, 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 May 9, 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.

Verify at the official NPI Registry.