Individual provider Active NPI

Korinne Elon Davis-Lobban, LMFT

  • Marriage & Family Therapist
  • Riverside, CA
National Provider Identifier
1720516768
Registry record updated Jun 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT99320 Issued in CA
Practice address
19321 Grove Community Dr
Riverside, CA 92508-8113
Phone
(951) 571-9096
NPI assigned
Jun 2, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2017

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 LMFT99320 CA Primary

Addresses

Primary practice location

19321 Grove Community Dr
Riverside, CA 92508-8113

Mailing address

PO Box 7705
Moreno Valley, CA 92552-7705
Phone (619) 300-5446

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

LicenseStateTypeSpecialty
LMFT99320CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lobban Marriage and Family Therapy Inc Marriage & Family Therapist Current Accepting new patients

Locations

1845 Business Center Dr
Ste 215
San Bernardino, CA 92408
Phone (909) 521-7453

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1496361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496361600000",
    "number": "1720516768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7705",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925527705",
            "telephone_number": "619-300-5446",
            "fax_number": "619-300-5446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19321 GROVE COMMUNITY DR",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925088113",
            "telephone_number": "951-571-9096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS-LOBBAN",
        "first_name": "KORINNE",
        "middle_name": "ELON",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-02",
        "last_updated": "2017-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT99320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2017; 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.