NPIMap

Organization Active NPI

Modern Life Solutions, a Couples and Family Therapy Corporation

  • Marriage & Family Therapist
  • Perris, CA
National Provider Identifier
1194485193
Registry record updated Dec 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
MODERN LIFE SOLUTIONS, A COUPLES AND FAMILY THERAPY CORPORATION
Practice address
2098 Sundown Dr
Perris, CA 92571-2615
Phone
(714) 319-0339
NPI assigned
Dec 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2021

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

Authorized official

Name
Mr. Aaron Quiroz, LMFTNPI 1053850420
Title
Owner
Phone
(714) 319-0339

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

2098 Sundown Dr
Perris, CA 92571-2615

Mailing address

2098 Sundown Dr
Perris, CA 92571-2615
Phone (714) 319-0339

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250602001493 CA Part B Supplier - Clinic/Group Practice 9537678529 Receives reassigned benefits from 1 practitioner
Practice locations: Long Beach, CA

National Provider Directory

National Provider Directory

Locations

2009 Palo Verde Ave
Long Beach, CA 90815
Phone (562) 743-2389

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1639872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639872000000",
    "number": "1194485193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2098 SUNDOWN DR",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925712615",
            "telephone_number": "714-319-0339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2098 SUNDOWN DR",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925712615",
            "telephone_number": "714-319-0339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN LIFE SOLUTIONS, A COUPLES AND FAMILY THERAPY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-19",
        "last_updated": "2021-12-19",
        "certification_date": "2021-12-19",
        "status": "A",
        "authorized_official_last_name": "QUIROZ",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-319-0339",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perris, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.