Individual provider Active NPI

Jasmine Saad Cotta, MA, LMFT

  • Marriage & Family Therapist
  • Tustin, CA
National Provider Identifier
1336671957
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT121518 Issued in CA
Practice address
1352 Irvine Blvd
Suites 102-104
Tustin, CA 92780-3549
Phone
(657) 204-2639
NPI assigned
Apr 2, 2017
Last updated
May 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X IMF97040 CA
Marriage & Family Therapist 106H00000X LMFT121518 CA Primary

Addresses

Primary practice location

1352 Irvine Blvd
Suites 102-104
Tustin, CA 92780-3549

Mailing address

1352 Irvine Blvd
Suites 102-104
Tustin, CA 92780-3549
Phone (657) 204-2639

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
Master of Arts

State licenses

LicenseStateTypeSpecialty
IMF97040CAMDMarriage & Family Therapist
LMFT121518CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1491091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1336671957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1352 IRVINE BLVD",
            "address_2": "SUITES 102-104",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803549",
            "telephone_number": "657-204-2639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1352 IRVINE BLVD",
            "address_2": "SUITES 102-104",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803549",
            "telephone_number": "657-204-2639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTTA",
        "first_name": "JASMINE",
        "middle_name": "SAAD",
        "credential": "MA, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-02",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF97040",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT121518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; 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.