Cornerstone Marriage and Family Therapy Corp.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

CORNERSTONE MARRIAGE AND FAMILY THERAPY CORP.

Practice address

54425 N Circle Drive
Suite 9 and 10
Idyllwild, CA 92549-9254

Phone

(760) 207-7486

NPI assigned

Oct 2, 2020

Last updated

Oct 2, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cara Wilkerson, MA, LMFTNPI 1821280983

Title

Ceo/President/Clinical Supervisor

Phone

(760) 207-7486

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cara Lynn Wilkerson, LMFT

  • Marriage & Family Therapist
  • Idyllwild, CA
  • NPI 1821280983
  NPD Authorized official

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

{
    "created_epoch": "1601596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601596800000",
    "number": "1497352405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3519",
            "city": "IDYLLWILD",
            "state": "CA",
            "postal_code": "925493519",
            "telephone_number": "760-207-7486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54425 N CIRCLE DRIVE",
            "address_2": "SUITE 9 AND 10",
            "city": "IDYLLWILD",
            "state": "CA",
            "postal_code": "925499254",
            "telephone_number": "760-207-7486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE MARRIAGE AND FAMILY THERAPY CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-02",
        "last_updated": "2020-10-02",
        "certification_date": "2020-09-29",
        "status": "A",
        "authorized_official_last_name": "WILKERSON",
        "authorized_official_first_name": "CARA",
        "authorized_official_title_or_position": "CEO/PRESIDENT/CLINICAL SUPERVISOR",
        "authorized_official_telephone_number": "760-207-7486",
        "authorized_official_credential": "MA, LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821280983",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ruthane Capers, LMFT
• Anthony Carratello, DPT
• Veronica Mejia Castro
• Talia Rene Clate, FNP-C
• Lisa Corey
• Cornerstone Psychotherapy Group LLC
• Gina Maile Drell
• DRS Dunn & Dunn
• DRS Dunn & Dunn
• Susan Anne Freed, MOT, OTR/L, CHT

• Marriage & Family Therapist in Idyllwild, CA
• Providers in Idyllwild, 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 Oct 2, 2020; 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.