Active NPI
Maria T McCoy, LMFT
- Mental Health Counselor
- Pasadena, CA
National Provider Identifier
1508366212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 102860
- Practice address
- 107 S Fair Oaks Ave Ste 227
Pasadena, CA 91105-2083 - Phone
- (818) 305-5569
- NPI assigned
- Feb 19, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 102860 | CA | Primary |
Addresses
Primary practice location
107 S Fair Oaks Ave Ste 227
Pasadena, CA 91105-2083
Mailing address
107 S Fair Oaks Ave Ste 227
Pasadena, CA 91105-2083
Phone (818) 305-5569
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102860 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566864000000",
"number": "1508366212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 S FAIR OAKS AVE STE 227",
"city": "PASADENA",
"state": "CA",
"postal_code": "911052083",
"telephone_number": "818-305-5569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 S FAIR OAKS AVE STE 227",
"city": "PASADENA",
"state": "CA",
"postal_code": "911052083",
"telephone_number": "818-305-5569"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCOY",
"first_name": "MARIA",
"middle_name": "T",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-19",
"last_updated": "2019-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "102860",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.