Individual provider Active NPI

Jessica Cornea, LMFT #138932

  • Marriage & Family Therapist
  • Orange, CA
National Provider Identifier
1205390796
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
138932 Issued in CA
Practice address
4000 W Metropolitan Dr Ste 400
Orange, CA 92868-3503
Phone
(855) 625-4657
NPI assigned
Jan 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 138932 CA Primary

Addresses

Primary practice location

4000 W Metropolitan Dr Ste 400
Orange, CA 92868-3503

Mailing address

5793 Grand Ave
Riverside, CA 92504-1323
Phone (714) 906-0244

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
138932CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1548720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1205390796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5793 GRAND AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925041323",
            "telephone_number": "714-906-0244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 W METROPOLITAN DR STE 400",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683503",
            "telephone_number": "855-625-4657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNEA",
        "first_name": "JESSICA",
        "credential": "LMFT #138932",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-29",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "138932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.