Individual provider Active NPI

Vicki Coffman, LMFT

  • Marriage & Family Therapist
  • Murrieta, CA
National Provider Identifier
1578802146
Registry record updated Dec 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
83503 Issued in CA
Practice address
29970 Technology Dr Ste 212
Murrieta, CA 92563-2649
Phone
(951) 900-4414
Fax
(951) 880-0817
NPI assigned
Feb 2, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 83503 CA Primary
Marriage & Family Therapist 106H00000X 0717002007 VA

Addresses

Primary practice location

29970 Technology Dr Ste 212
Murrieta, CA 92563-2649

Mailing address

29970 Technology Dr Ste 212
Murrieta, CA 92563-2649
Phone (951) 900-4414

Other practice location 1

9327 Midlothian Tpke Ste 1D
North Chesterfield, VA 23235-4965
Phone (951) 900-4414

Other practice location 2

1101 California Ave Ste 202
Corona, CA 92881-6473
Phone (951) 900-4414

Other identifiers 1

IdentifierTypeStateIssuer
CA717047MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240326004315 CA Practitioner - Marriage and Family Therapist 0547579583 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

29970 Technology Dr
Murrieta, CA 92563-2646
Phone (951) 900-4414

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
83503CAMDMarriage & Family Therapist
0717002007VAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Encouragers Family Counseling, Inc. CurrentSince Jan 22, 2024 Accepting new patients
Encouragers Counseling and Training Centers, Inc CurrentSince Apr 18, 2024 Accepting new patients

Locations

1101 California Ave
Ste 202
Corona, CA 92881
Phone (951) 547-4624

7471 Rudell Rd
Corona, CA 92881
Phone (951) 900-4414

29970 Technology Dr
Ste 212
Murrieta, CA 92563
Phone (951) 900-4414

29970 Technology Dr
Ste 108
Murrieta, CA 92563
Phone (951) 323-5352

3359 Chicago Ave
Riverside, CA 92507
Phone (951) 900-4414

9327 Midlothian Tpke
Ste 1D
North Chesterfield, VA 23235
Phone (951) 900-4414

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1359763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733616000000",
    "number": "1578802146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29970 TECHNOLOGY DR STE 212",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925632649",
            "telephone_number": "951-900-4414",
            "fax_number": "951-880-0817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29970 TECHNOLOGY DR STE 212",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925632649",
            "telephone_number": "951-900-4414",
            "fax_number": "951-880-0817"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9327 Midlothian Tpke Ste 1D",
            "address_purpose": "LOCATION",
            "city": "North Chesterfield",
            "state": "VA",
            "postal_code": "232354965",
            "country_code": "US",
            "telephone_number": "951-900-4414",
            "fax_number": "951-880-0817",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1101 California Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Corona",
            "state": "CA",
            "postal_code": "928816473",
            "country_code": "US",
            "telephone_number": "951-900-4414",
            "fax_number": "951-880-0817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COFFMAN",
        "first_name": "VICKI",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-02",
        "last_updated": "2024-12-08",
        "certification_date": "2024-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "83503",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0717002007",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CA717047",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

Verify at the official NPI Registry.