Aysin Koca, AMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

129550 Issued in CA

Practice address

2464 Slew of Gold CT
Perris, CA 92571-2546

Phone

(951) 940-4928

NPI assigned

Sep 16, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• New Beginnings Residential TF

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Perris, CA
  • NPI 1093267569
  NPD (past)

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

{
    "created_epoch": "1663286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1346962198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2464 SLEW OF GOLD CT",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925712546",
            "telephone_number": "951-940-4928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2464 SLEW OF GOLD CT",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925712546",
            "telephone_number": "951-940-4928"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2464 Slew Of Gold Ct",
            "address_purpose": "LOCATION",
            "city": "Perris",
            "state": "CA",
            "postal_code": "925712546",
            "country_code": "US",
            "telephone_number": "951-940-4928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOCA",
        "first_name": "AYSIN",
        "credential": "AMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-16",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "129550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Knarreborg
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• Yi Jau Ko, MA, OTR/L
• Joseph J Kozinski, MFT
• Marcus Kujawa, PRC
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• Brandy Lackey, PPS

• Marriage & Family Therapist in Perris, CA
• Providers in Perris, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; 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.