Individual provider Active NPI

Pedro Adrian Cortez-McLaughlin

  • Marriage & Family Therapist
  • Redwood City, CA
National Provider Identifier
1184233637
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
135923 Issued in CA
Practice address
647 Veterans Blvd Ste a
Redwood City, CA 94063-1441
Phone
(650) 336-0054
NPI assigned
Jul 29, 2020
Last updated
Dec 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Marriage & Family Therapist 106H00000X 135923 CA Primary

Addresses

Primary practice location

647 Veterans Blvd Ste a
Redwood City, CA 94063-1441

Mailing address

1561 Gordon St Apt a
Redwood City, CA 94061-2830
Phone (650) 308-5214

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
I20240910002431 CA Practitioner - Marriage and Family Therapist 6305386988 Practice locations: Redwood City, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pedro's Marriage & Family Counseling Inc. Marriage & Family Therapist CurrentSince Feb 9, 2025 Accepting new patients

Locations

647 Veterans Blvd
Ste A
Redwood City, CA 94063
Phone (650) 336-0054

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1184233637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1561 GORDON ST APT A",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940612830",
            "telephone_number": "650-308-5214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "647 VETERANS BLVD STE A",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940631441",
            "telephone_number": "650-336-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORTEZ-MCLAUGHLIN",
        "first_name": "PEDRO",
        "middle_name": "ADRIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-29",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "135923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

Verify at the official NPI Registry.