Ambar Maria Corugedo, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LCS12610 Issued in CA

Practice address

3855-F Alamo Street
Suite 2032
Simi Valley, CA 93040

Phone

(805) 582-7507

Fax

(805) 582-7514

NPI assigned

May 9, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376757740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3855-F ALAMO STREET",
            "address_2": "SUITE 2032",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "93040",
            "telephone_number": "805-582-7507",
            "fax_number": "805-582-7514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3855-F ALAMO STREET",
            "address_2": "SUITE 2032",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "93040",
            "telephone_number": "805-582-7507",
            "fax_number": "805-582-7514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORUGEDO",
        "first_name": "AMBAR",
        "middle_name": "MARIA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LCS12610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "LCS12610",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Simi Valley, CA
• Providers in Simi Valley, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.