Patrice Isabel Courteau-Fonkalsrud, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT 33329 Issued in CA

Practice address

1151 Dove St
Suite 280
Newport Beach, CA 92660-2840

Phone

(949) 525-7375

Fax

(949) 200-9086

NPI assigned

May 10, 2016

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": "1462838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462838400000",
    "number": "1649626557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 DOVE ST",
            "address_2": "SUITE 280",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602840",
            "telephone_number": "949-525-7375",
            "fax_number": "949-200-9086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 DOVE ST",
            "address_2": "SUITE 280",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602840",
            "telephone_number": "949-525-7375",
            "fax_number": "949-200-9086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COURTEAU-FONKALSRUD",
        "first_name": "PATRICE",
        "middle_name": "ISABEL",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-10",
        "last_updated": "2016-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT 33329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chyna Fuster Cotangco, PT, DPT
• Christopher M Cote, DC
• Mihaela Angelina Cotociu
• Michele Couey, R.N.F.A
• Christopher Harvey Coulter, MD
• Erik Ernest Courter
• Coury & Buehler Physical Therapy - Newport, Inc.
• Coury & Buehler Physical Therapy, Inc.
• Antonio Javier Covarrubias, M.D.
• Craig A Cox, MD

• Marriage & Family Therapist in Newport Beach, CA
• Providers in Newport 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 May 10, 2016; 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.