Jennifer Michelle Corbin, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

10883 Issued in CA

Practice address

1650 E 4TH St
Santa Ana, CA 92701-5151

Phone

(714) 525-8509

NPI assigned

Aug 22, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1336868678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 E 4TH ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927015151",
            "telephone_number": "714-525-8509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 E 4TH ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927015151",
            "telephone_number": "714-525-8509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORBIN",
        "first_name": "JENNIFER",
        "middle_name": "MICHELLE",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-22",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "10883",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "10883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Susan Cooper, LMFT
• Stanley Cooper
• Nathan Isaiah Coppersmith
• Brianna Elia Coque, MSW, LCSW
• Pio Carmelo Bernardo Coquia III, RN
• John Thomas Corbin
• Viviana Cordero
• Carmen Marissa Cordes, PT
• Daniella Zulems Cordova
• Ingrid Azucena Cordova, M.A., CCC-SLP

• Professional Counselor in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; 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.