Individual provider Active NPI

Vicki Coccaro, MA., MFT

  • Marriage & Family Therapist
  • Los Alamitos, CA
National Provider Identifier
1851651509
Registry record updated May 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC51377 Issued in CA
Practice address
4132 Katella Ave Ste 104
Los Alamitos, CA 90720-3493
Phone
(714) 274-3451
Fax
(562) 598-5997
NPI assigned
May 28, 2012
Last updated
May 28, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC51377 CA Primary

Addresses

Primary practice location

4132 Katella Ave Ste 104
Los Alamitos, CA 90720-3493

Mailing address

4132 Katella Ave Ste 104
Los Alamitos, CA 90720-3493
Phone (714) 274-3451

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MFC51377CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Counseling Group Marriage & Family Therapist PastSince Feb 9, 2024 Accepting new patients
Grace Counseling Group Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1338163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338163200000",
    "number": "1851651509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4132 KATELLA AVE STE 104",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203493",
            "telephone_number": "714-274-3451",
            "fax_number": "562-598-5997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4132 KATELLA AVE STE 104",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203493",
            "telephone_number": "714-274-3451",
            "fax_number": "562-598-5997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCCARO",
        "first_name": "VICKI",
        "credential": "MA., MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-28",
        "last_updated": "2012-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC51377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamitos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2012; 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.