Individual provider Active NPI

Corrie Jean McCune

  • Marriage & Family Therapist
  • West Covina, CA
National Provider Identifier
1689279937
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
142727 Issued in CA
Practice address
2155 E Garvey Ave N Ste B17
West Covina, CA 91791-1545
Phone
(626) 489-9144
NPI assigned
Dec 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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 142727 CA Primary

Addresses

Primary practice location

2155 E Garvey Ave N Ste B17
West Covina, CA 91791-1545

Mailing address

2155 E Garvey Ave N Ste B17
West Covina, CA 91791-1545
Phone (626) 489-9144

Other names 1

  • Mrs. Corrie J Young Former name

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
I20240508001432 CA Practitioner - Marriage and Family Therapist 4082055082 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Through the Sea Marriage and Family Counseling Inc Marriage & Family Therapist CurrentSince Mar 15, 2024 Accepting new patients
Descanso Home Health Services PastSince Nov 19, 2023 Accepting new patients

Locations

2155 E Garvey Ave N
Ste B17
West Covina, CA 91791
Phone (626) 489-9114

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": "1606953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1689279937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 E GARVEY AVE N STE B17",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917911545",
            "telephone_number": "626-489-9144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 E GARVEY AVE N STE B17",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917911545",
            "telephone_number": "626-489-9144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCUNE",
        "first_name": "CORRIE",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-03",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "142727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CORRIE",
            "last_name": "YOUNG",
            "middle_name": "J",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Covina, CA

Sources for this page

Verify at the official NPI Registry.