Individual provider Active NPI

Constance M Cordain, LMFT

  • Marriage & Family Therapist
  • Flagstaff, AZ
National Provider Identifier
1881928141
Registry record updated Feb 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT-0359 Issued in AZ
Practice address
1016 W University Ave
#209
Flagstaff, AZ 86001-2994
Phone
(928) 774-0954
NPI assigned
Sep 18, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFT-0359 AZ Primary
Marriage & Family Therapist 106H00000X MFC-28974 CA

Addresses

Primary practice location

1016 W University Ave
#209
Flagstaff, AZ 86001-2994

Mailing address

4000 E Village Cir
Flagstaff, AZ 86004-7909
Phone (928) 774-0954

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

State licenses

LicenseStateTypeSpecialty
MFT-0359AZMDMarriage & Family Therapist
MFC-28974CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1253232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329696000000",
    "number": "1881928141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 E VILLAGE CIR",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860047909",
            "telephone_number": "928-774-0954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 W UNIVERSITY AVE",
            "address_2": "#209",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860012994",
            "telephone_number": "928-774-0954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDAIN",
        "first_name": "CONSTANCE",
        "middle_name": "M",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-18",
        "last_updated": "2012-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AZ",
            "license": "MFT-0359",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC-28974",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.