Organization Active NPI

Marriage Made Better Relationship Counseling

  • Community/Behavioral Health Agency
  • San Juan Capistrano, CA
National Provider Identifier
1235580556
Registry record updated Jul 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LMFT81406 Issued in CA
Legal business name
MARRIAGE MADE BETTER RELATIONSHIP COUNSELING
Practice address
30200 Rancho Viejo Road, Suite D
San Juan Capistrano, CA 92675
Phone
(949) 391-1812
NPI assigned
Jun 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2018

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

Authorized official

Name
Carly Marie Ketchum, LMFTNPI 1285085597
Title
LMFT
Phone
(949) 391-1812

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
Community/Behavioral Health Agency 251S00000X LMFT81406 CA Primary

Addresses

Primary practice location

30200 Rancho Viejo Road, Suite D
San Juan Capistrano, CA 92675

Mailing address

47 Corte Vidriosa
San Clemente, CA 92673
Phone (949) 391-1812

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1467072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532044800000",
    "number": "1235580556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 CORTE VIDRIOSA",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "92673",
            "telephone_number": "949-391-1812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30200 RANCHO VIEJO ROAD, SUITE D",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "92675",
            "telephone_number": "949-391-1812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARRIAGE MADE BETTER RELATIONSHIP COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-28",
        "last_updated": "2018-07-20",
        "status": "A",
        "authorized_official_last_name": "KETCHUM",
        "authorized_official_first_name": "CARLY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "LMFT",
        "authorized_official_telephone_number": "949-391-1812",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "LMFT81406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan Capistrano, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.