Individual provider Active NPI

Cornelia Grace Bjorge, LMFT

  • Marriage & Family Therapist
  • Palmdale, CA
National Provider Identifier
1215202783
Registry record updated Mar 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC35634 Issued in CA
Practice address
41765 12TH St W Ste D
Palmdale, CA 93551-1422
Phone
(661) 940-4861
Fax
(661) 942-4511
NPI assigned
Mar 17, 2012
Last updated
Mar 17, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2012

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 MFC35634 CA Primary

Addresses

Primary practice location

41765 12TH St W Ste D
Palmdale, CA 93551-1422

Mailing address

41765 12TH St W Ste D
Palmdale, CA 93551-1422
Phone (661) 940-4861

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 14, 2025 through Oct 14, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFC35634CAMDMarriage & Family Therapist
35634CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1331942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331942400000",
    "number": "1215202783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41765 12TH ST W STE D",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935511422",
            "telephone_number": "661-940-4861",
            "fax_number": "661-942-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41765 12TH ST W STE D",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935511422",
            "telephone_number": "661-940-4861",
            "fax_number": "661-942-4511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BJORGE",
        "first_name": "CORNELIA",
        "middle_name": "GRACE",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-17",
        "last_updated": "2012-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC35634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

Verify at the official NPI Registry.