Active NPI
Norma Elizabeth Ixcol, LMFT111212
- Marriage & Family Therapist
- Riverside, CA
National Provider Identifier
1811550858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT111212
- Practice address
- 7177 Brockton Ave Ste 111
Riverside, CA 92506-2632 - Phone
- (433) 788-8795
- Fax
- (949) 460-5322
- NPI assigned
- Apr 16, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LMFT111212 | CA | Primary |
Addresses
Primary practice location
7177 Brockton Ave Ste 111
Riverside, CA 92506-2632
Mailing address
7177 Brockton Ave Ste 111
Riverside, CA 92506-2632
Phone (433) 788-8795
Other names 1
- Norma Elizabeth Urquidez
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT111212 | CA | MD | Marriage & Family Therapist |
| 111212 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for New Directions, Inc. | Single Specialty | Current | Accepting new patients |
| Stephen M Pumphrey Licensed Clinical Social Workers Inc | Single Specialty | Past | Accepting new patients |
Locations
23201 Mill Creek Dr
Ste 220
Laguna Hills, CA 92653
Phone (949) 460-5320
7177 Brockton Ave
Ste 111
Riverside, CA 92506
Phone (949) 460-5322
232 W Main St
Ste 101
Tustin, CA 92780
Phone (714) 478-9431
Organizations & group practices 2
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.
-
- Mental Health Counselor
- Laguna Hills, CA
- NPI 1578121190
Single Specialty
-
- Clinical Social Worker
- Laguna Hills, CA
- NPI 1386862969
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555372800000",
"number": "1811550858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7177 BROCKTON AVE STE 111",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925062632",
"telephone_number": "433-788-8795",
"fax_number": "949-460-5322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7177 BROCKTON AVE STE 111",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925062632",
"telephone_number": "433-788-8795",
"fax_number": "949-460-5322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IXCOL",
"first_name": "NORMA",
"middle_name": "ELIZABETH",
"credential": "LMFT111212",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-16",
"last_updated": "2019-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT111212",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NORMA",
"last_name": "URQUIDEZ",
"middle_name": "ELIZABETH",
"code": "1",
"type": "Former Name"
}
]
}
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 Apr 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.