Mary Eryza Angeline P Comia

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

138709 Issued in CA

Practice address

2660 Victor Ave
Redding, CA 96002-1432

Phone

(949) 354-4442

NPI assigned

Mar 20, 2023

Last updated

Dec 3, 2023By 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 2

Addresses

Other identifiers 1

Other names 1

• Mary Comia Professional name

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": "1679270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701561600000",
    "number": "1477255735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2167 SHAW AVE STE 115",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936118935",
            "telephone_number": "949-354-4442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 VICTOR AVE",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960021432",
            "telephone_number": "949-354-4442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMIA",
        "first_name": "MARY ERYZA ANGELINE",
        "middle_name": "P",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-20",
        "last_updated": "2023-12-03",
        "certification_date": "2023-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "13614",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "138709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138709",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "COMIA",
            "credential": "MA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Hilary Colombero
• Vinicio Rafael Colon Jr., LVN
• Columbia Elementary School District
• Janette Marie Comas, RN
• Nicole Combs, PA-C
• Community Medical Specialists Inc (Aloha Medical)
• Kaylah Micheal Como
• Comprehensive Surgical Care of Redding, LLC
• Heidi Concello, PT, DPT
• Jacob Daniel Concienne

• Marriage & Family Therapist in Redding, CA
• Providers in Redding, 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 Dec 3, 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.