Individual provider Active NPI

Mauricette Mancini, MFT, CBT

  • Marriage & Family Therapist
  • Cornville, AZ
National Provider Identifier
1487788436
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
44581 Issued in CA
Practice address
1140 S Verde Santa Fe Pkwy
Cornville, AZ 86325-4955
Phone
(818) 355-4300
NPI assigned
Mar 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 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 44581 CA Primary

Addresses

Primary practice location

1140 S Verde Santa Fe Pkwy
Cornville, AZ 86325-4955

Mailing address

1140 S Verde Santa Fe Pkwy
Cornville, AZ 86325-4955
Phone (818) 355-4300

Other practice location 1

2525 Camino Del Rio S Ste 301
San Diego, CA 92108-3784
Phone (209) 689-2669

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Thriveworks Clinical - California PC Mental Health PastSince Dec 21, 2021 Accepting new patients

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": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1487788436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 S VERDE SANTA FE PKWY",
            "city": "CORNVILLE",
            "state": "AZ",
            "postal_code": "863254955",
            "telephone_number": "818-355-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 S VERDE SANTA FE PKWY",
            "city": "CORNVILLE",
            "state": "AZ",
            "postal_code": "863254955",
            "telephone_number": "818-355-4300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2525 Camino Del Rio S Ste 301",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921083784",
            "country_code": "US",
            "telephone_number": "209-689-2669",
            "fax_number": "617-807-0958",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANCINI",
        "first_name": "MAURICETTE",
        "name_prefix": "Ms.",
        "credential": "MFT, CBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "44581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cornville, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.