Kerry Lyn Alcott

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC35608 Issued in CA

Practice address

2721 E Coast Hwy Ste 209
Corona del Mar, CA 92625-2131

Phone

(949) 246-1888

NPI assigned

Jun 13, 2011

Last updated

Jun 13, 2011By 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

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": "1307923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307923200000",
    "number": "1518252071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5133 COSTA RUSTICO",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926737120",
            "telephone_number": "949-246-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2721 E COAST HWY STE 209",
            "city": "CORONA DEL MAR",
            "state": "CA",
            "postal_code": "926252131",
            "telephone_number": "949-246-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALCOTT",
        "first_name": "KERRY",
        "middle_name": "LYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-13",
        "last_updated": "2011-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC35608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Corona del Mar, CA
• Providers in Corona del Mar, 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 Jun 13, 2011; 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.