Amy Marie Cornwall, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

130174 Issued in CA

Practice address

2512 Artesia Blvd Ste 250F
Redondo Beach, CA 90278-5365

Phone

(424) 255-8483

NPI assigned

Apr 6, 2018

Sex

Female

Sole proprietor

No

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

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.

• Blue Chair Family Therapy

  • Marriage & Family Therapist
  • Redondo Beach, CA
  • NPI 1093460388
  NPD Authorized official
• Blue Chair Foundation

  • Marriage & Family Therapist
  • Redondo Beach, CA
  • NPI 1235974619
  NPD Authorized official

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

{
    "created_epoch": "1522972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643414400000",
    "number": "1629575600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2512 ARTESIA BLVD STE 250F",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902785365",
            "telephone_number": "424-255-8483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2512 ARTESIA BLVD STE 250F",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902785365",
            "telephone_number": "424-255-8483"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 Pacific Coast Hwy Ste 290",
            "address_purpose": "LOCATION",
            "city": "Hermosa Beach",
            "state": "CA",
            "postal_code": "902543283",
            "country_code": "US",
            "telephone_number": "424-999-4789",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORNWALL",
        "first_name": "AMY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-06",
        "last_updated": "2022-01-29",
        "certification_date": "2022-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "130174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Neil Cook, M.A.
• Kristina Katherine Cooke, RD
• Karen Corey, LCSW
• Arlene Cormier, CMT
• Clancey Jo Cornell
• Vanessa Correa, M.D.
• Yolanda Cortes
• Marjorie Cortez
• Antonia Leigh Cotwright, D.O.
• Valerie Coukoulis

• Marriage & Family Therapist in Redondo Beach, CA
• Providers in Redondo Beach, 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 Jan 29, 2022; 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.