Individual provider Active NPI

Kore Brown, LMFT

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1376348615
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
148001 Issued in CA
Practice address
6265 Greenwich Dr Ste 230
San Diego, CA 92122-5921
Phone
(619) 752-4801
NPI assigned
Feb 18, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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 148001 CA Primary

Addresses

Primary practice location

6265 Greenwich Dr Ste 230
San Diego, CA 92122-5921

Mailing address

6265 Greenwich Dr Ste 230
San Diego, CA 92122-5921

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 18, 2024 through Jul 18, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
148001CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Clover Healing Collective, a Marriage and Family Therapy Corporation Marriage & Family Therapist CurrentSince Feb 23, 2025 Accepting new patients

Locations

6265 Greenwich Dr
Ste 230
San Diego, CA 92122
Phone (619) 752-4801

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1739836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1376348615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6265 GREENWICH DR STE 230",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921225921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6265 GREENWICH DR STE 230",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921225921",
            "telephone_number": "619-752-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "KORE",
        "name_prefix": "Dr.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-18",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "148001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.