Individual provider Active NPI

Julia Ruth Corbin, MS

  • Marriage & Family Therapist
  • Cape Coral, FL
National Provider Identifier
1669612479
Registry record updated Nov 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT2494 Issued in FL
Practice address
2503 Del Prado Blvd S
Suite 410
Cape Coral, FL 33904-5791
Phone
(239) 896-4507
Fax
(239) 242-6389
NPI assigned
Mar 6, 2009
Last updated
Nov 18, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MT2494 FL Primary

Addresses

Primary practice location

2503 Del Prado Blvd S
Suite 410
Cape Coral, FL 33904-5791

Mailing address

2503 Del Prado Blvd S
Suite 410
Cape Coral, FL 33904-5791
Phone (239) 896-4507

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20240206004835 FL Practitioner - Marriage and Family Therapist 3476996463 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
I-Bos Counseling Center, LLCGroup PAC ID 4587062864, 11 clinicians

Practice addresses (Care Compare)

2503 Del Prado Blvd S
Suite 410
Cape Coral, FL 33904-5709
Phone (239) 443-6385

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
I-Bos Counseling Center, LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

2503 Del Prado Blvd S
Ste 410
Cape Coral, FL 33904
Phone (239) 443-6385

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1236297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479427200000",
    "number": "1669612479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2503 DEL PRADO BLVD S",
            "address_2": "SUITE 410",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339045791",
            "telephone_number": "239-896-4507",
            "fax_number": "239-242-6389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2503 DEL PRADO BLVD S",
            "address_2": "SUITE 410",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339045791",
            "telephone_number": "239-896-4507",
            "fax_number": "239-242-6389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORBIN",
        "first_name": "JULIA",
        "middle_name": "RUTH",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-06",
        "last_updated": "2016-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT2494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

Verify at the official NPI Registry.