Tunisia L. Peden

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

80282 Issued in CA

Practice address

252 N Main St
Lake Elsinore, CA 92530-4012

Phone

(951) 318-1351

NPI assigned

Nov 9, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Corc Family Counseling Corporation

  • Marriage & Family Therapist
  • Lake Elsinore, CA
  • NPI 1538542352
  NPD
• Corc Family Counseling Corporation

  • Marriage & Family Therapist
  • Lake Elsinore, CA
  • NPI 1972942191
  NPD

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

{
    "created_epoch": "1478649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1760924617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23394 CAMINO TERRAZA RD",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928839357",
            "telephone_number": "323-646-8694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 N MAIN ST",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925304012",
            "telephone_number": "951-318-1351"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23394 Camino Terraza Rd",
            "address_purpose": "LOCATION",
            "city": "Corona",
            "state": "CA",
            "postal_code": "928839357",
            "country_code": "US",
            "telephone_number": "323-646-8694",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEDEN",
        "first_name": "TUNISIA",
        "middle_name": "L.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-09",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "80282",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MFTI LICENSE",
            "identifier": "80282",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Vicktoria Patzer, AMFT
• Michelle Nicole Pavlick
• Michelle Evanthe Pawlak, R.D.
• Christopher Peck, PHARMD
• Karen A. Pecora, LM
• Pediatrics R US Inc
• Pedro Luis Gonzalez DMD Inc
• Poppy Eve Peluce-Fune, LCSW
• Arletta Rachelle Penick
• Brenda Perez

• Marriage & Family Therapist in Lake Elsinore, CA
• Providers in Lake Elsinore, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; 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.