Jessica Correa

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT120646 Issued in CA

Practice address

27200 Tourney Rd # 175
Santa Clarita, CA 91355-4990

Phone

(661) 705-4670

NPI assigned

Dec 7, 2015

Sex

Female

Sole proprietor

No

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.

• All for Kids Organization

  • Community/Behavioral Health Agency
  • Valencia, CA
  • NPI 1205320009
  NPD
• All for Kids Organization

  • Community/Behavioral Health Agency
  • Palmdale, CA
  • NPI 1609902436
  NPD (past)

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

{
    "created_epoch": "1449446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596499200000",
    "number": "1801261540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1529 E PALMDALE BLVD STE 210",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935502029",
            "telephone_number": "661-272-9996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27200 TOURNEY RD # 175",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913554990",
            "telephone_number": "661-705-4670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORREA",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-07",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "IMF100569",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT120646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801261540",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ruby Corley
• Lizbeth Angelica Corona
• Tim Coronado, PTA
• Bridgetthe Monserrathe Correa Shive, ACSW
• Concepcion Correa
• Perla Marina Cortes
• Jessica Cortez-Nunez
• Emily Cortez, M.A.
• Lauren Anne Coscolluela, OTD, OTR/L
• Damian Costa

• Marriage & Family Therapist in Santa Clarita, CA
• Providers in Santa Clarita, 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 Aug 4, 2020; 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.