Elements Marriage, Family, Couples, and Individual Therapy Corp

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

ELEMENTS MARRIAGE, FAMILY, COUPLES, AND INDIVIDUAL THERAPY CORP

Practice address

3325 Palo Verde Ave, Ste 202
3325 Palo Verde Ave, Ste 202
Long Beach, CA 90808

Phone

(714) 809-7831

NPI assigned

Sep 8, 2022

Organization subpart

No

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

Authorized official

Name

Candice Lynne Recotta, LMFT

Title

Clinical Supervisor

Phone

(714) 809-7831

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1662595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662595200000",
    "number": "1750002663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3325 PALO VERDE AVE, STE 202",
            "address_2": "3325 PALO VERDE AVE, STE 202",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "90808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3325 PALO VERDE AVE, STE 202",
            "address_2": "3325 PALO VERDE AVE, STE 202",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "90808",
            "telephone_number": "714-809-7831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEMENTS MARRIAGE, FAMILY, COUPLES, AND INDIVIDUAL THERAPY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-08",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A",
        "authorized_official_last_name": "RECOTTA",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "CLINICAL SUPERVISOR",
        "authorized_official_telephone_number": "714-809-7831",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; 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.