Corliss E. Porter, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFT 11926 Issued in CA

Practice address

501 Marin St Ste 202
Thousand Oaks, CA 91360-4266

Phone

(805) 702-5420

NPI assigned

Jan 29, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Marriage and Family Therapist

Education

Other, 1977

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Circle of Life Counseling Center

  • Marriage & Family Therapist
  • Thousand Oaks, CA
  • NPI 1568912541
  Medicare reassignment NPD
• Sara Rector

  • Marriage & Family Therapist
  • Thousand Oaks, CA
  • NPI 1083078760
  NPD (past)

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1235316571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3503",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931303503",
            "telephone_number": "805-451-9419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 MARIN ST STE 202",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913604266",
            "telephone_number": "805-702-5420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1065 E Main St",
            "address_purpose": "LOCATION",
            "city": "Ventura",
            "state": "CA",
            "postal_code": "930013027",
            "country_code": "US",
            "telephone_number": "805-652-0596 x26",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORTER",
        "first_name": "CORLISS",
        "middle_name": "E.",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-29",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT 11926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robyn Pool, LM
• Shirley Poon
• Pooya Mobasseri Inc
• Karen Popp, N.P.
• Ronald A Popper, M.D. F.C.C.P.
• Lindsee Porter
• Stephanie R Porter, NP
• Jonathan Gavin Porto, LMFT 150139
• Barbara Lynn Porush, MFT
• Robin Joseph Pottukalam, D.P.T.

• Marriage & Family Therapist in Thousand Oaks, CA
• Providers in Thousand Oaks, 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 Dec 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.