Active NPI
Elizabeth Ortiz
- Mental Health Counselor
- Corona, CA
National Provider Identifier
1700699626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- AMFT133517
- Practice address
- 765 N Main St
Corona, CA 92878-1440 - Phone
- (951) 444-5820
- NPI assigned
- Jan 27, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | AMFT133517 | CA | Primary |
Addresses
Primary practice location
765 N Main St
Corona, CA 92878-1440
Mailing address
29279 Gateway Dr
Lake Elsinore, CA 92530-7276
Phone (951) 452-0345
Other names 1
- Elizabeth Ortiz Adame
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AMFT133517 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738022400000",
"number": "1700699626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29279 GATEWAY DR",
"city": "LAKE ELSINORE",
"state": "CA",
"postal_code": "925307276",
"telephone_number": "951-452-0345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "765 N MAIN ST",
"city": "CORONA",
"state": "CA",
"postal_code": "928781440",
"telephone_number": "951-444-5820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ",
"first_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-27",
"last_updated": "2025-01-28",
"certification_date": "2025-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "AMFT133517",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "ORTIZ ADAME",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.