Active NPI
Marriage Made Better Relationship Counseling
- Community/Behavioral Health Agency
- San Juan Capistrano, CA
National Provider Identifier
1235580556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- LMFT81406
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carly Marie Ketchum, LMFT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- San Juan Capistrano, CA
- NPI 1285085597
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
- Mariam Soldin-Wasfi DMD Professional Corp
- Valerie Marinko, RPH
- Mariposa Women and Family Center
- Mark Stephen Sutton, MD AMC
- Marriage & Family Therapy of Mind-Body Wellness, Inc.
- Arlene Forero Marten, RN
- Martin Orthopedic Rehabilitation Physical Therapy Inc.
- Julie Kathleen Martin, LMFT
- Maria Teresa Martin, LICENSED MFT
- Selina Martinez
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.