Active NPI
Rebecca Cooper, MFT
- Marriage & Family Therapist
- Lake Forest, CA
National Provider Identifier
1518276567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 42898
- Practice address
- 23861 El Toro Rd
7TH Floor
Lake Forest, CA 92630-4732 - Phone
- (949) 280-6606
- NPI assigned
- Sep 24, 2010
- Last updated
- Sep 24, 2010
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 42898 | CA | Primary |
Addresses
Primary practice location
23861 El Toro Rd
7TH Floor
Lake Forest, CA 92630-4732
Mailing address
23861 El Toro Rd
7TH Floor
Lake Forest, CA 92630-4732
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000000000 | Other | CA | NONE OF THE ABOV |
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 |
|---|---|---|---|
| 42898 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285286400000",
"number": "1518276567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23861 EL TORO RD",
"address_2": "7TH FLOOR",
"city": "LAKE FOREST",
"state": "CA",
"postal_code": "926304732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23861 EL TORO RD",
"address_2": "7TH FLOOR",
"city": "LAKE FOREST",
"state": "CA",
"postal_code": "926304732",
"telephone_number": "949-280-6606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "REBECCA",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-24",
"last_updated": "2010-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "42898",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NONE OF THE ABOV",
"identifier": "000000000000",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lake Forest, CA
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- Warren R Q Comstock, MPT
- Giselle Contreras
- Lillian Contreras
- Shelby Cooper, PA-C
- Cor Psychological Services Corporation (Cor Psychological Services)
- Selenia Sarina Corado, MPA, PA-C
- Janis Marie Corbin, LCSW
- Alma Cornelio-Gomez
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.