Cory Brosch, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

49739 Issued in CA

Practice address

2030 E. Fourth
C131
Santa Ana, CA 92705

Phone

(657) 859-9779

NPI assigned

Jun 17, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Cory Brosch Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Villages of California, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Orange, CA
  • NPI 1588424519
  NPD Authorized official
• Ball and Brosch Counseling Services: Marriage, Family, & Child

  • Marriage & Family Therapist
  • Santa Ana, CA
  • NPI 1770990624
  NPD (past)

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

{
    "created_epoch": "1434499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434499200000",
    "number": "1538540331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10668",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927110668",
            "telephone_number": "657-859-9779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 E. FOURTH",
            "address_2": "C131",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "92705",
            "telephone_number": "657-859-9779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROSCH",
        "first_name": "CORY",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-17",
        "last_updated": "2015-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "49739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CORY",
            "last_name": "BROSCH",
            "credential": "LMFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Earl Brooks IV
• Kimberly Brooks, PSYD
• Laural Lyn Brooks, P.T.
• Rhylee Nicole Brooks
• Valerie Kay Brooks, REGISTERED NURSE
• Zoe Broussard
• Alysha Mai Brown, LMFT
• Ashley Brown
• Brittany Nichole Brown, RN
• Brooke Brown

• Marriage & Family Therapist in Santa Ana, CA
• Providers in Santa Ana, 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 17, 2015; 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.