Individual provider Active NPI

Elizabeth Thelma Cordes, PHD, LMFT, JD

  • Marriage & Family Therapist
  • Mission Viejo, CA
National Provider Identifier
1255649786
Registry record updated Sep 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
41960 Issued in CA
Practice address
27001 La Paz Rd Ste Ab
Mission Viejo, CA 92691-5502
Phone
(949) 380-1717
Fax
(949) 380-1718
NPI assigned
Sep 17, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2010

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 41960 CA Primary

Addresses

Primary practice location

27001 La Paz Rd Ste Ab
Mission Viejo, CA 92691-5502

Mailing address

27001 La Paz Rd Ste Ab
Mission Viejo, CA 92691-5502
Phone (949) 380-1717

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Juris Doctor, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
41960CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1284681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284681600000",
    "number": "1255649786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27001 LA PAZ RD STE AB",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915502",
            "telephone_number": "949-380-1717",
            "fax_number": "949-380-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27001 LA PAZ RD STE AB",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915502",
            "telephone_number": "949-380-1717",
            "fax_number": "949-380-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDES",
        "first_name": "ELIZABETH",
        "middle_name": "THELMA",
        "name_prefix": "Dr.",
        "credential": "PHD, LMFT, JD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-17",
        "last_updated": "2010-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "41960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2010; 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.