Jorge Correa

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT86204 Issued in CA

Practice address

3418 Goldberry LN
Eugene, OR 97404-2037

Phone

(858) 997-7451

NPI assigned

May 27, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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

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.

• Quantum Wellness

  • Marriage & Family Therapist
  • Eugene, OR
  • NPI 1336995737
  NPD Authorized official

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

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1770159170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41153",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974040306",
            "telephone_number": "858-997-7451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3418 GOLDBERRY LN",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974042037",
            "telephone_number": "858-997-7451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORREA",
        "first_name": "JORGE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-27",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT86204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "LMFT86204",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Corniere, PT
• Rachael D Cornutt, LPN
• Catherine Anne Corotis, PHD
• Valeria Corrales Badilla
• Juliana Corrales Hinojosa
• Christopher Correll
• Claire Elizabeth Corson, M.S., RD, RDN
• Jennifer Crystal Cort
• Lorena Cortes Cervantes
• Patricia Cortez, MSW

• Marriage & Family Therapist in Eugene, OR
• Providers in Eugene, OR by specialty
• Marriage & Family Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.