Corazon Counseling Service

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

61936 Issued in CA

Legal business name

CORAZON COUNSELING SERVICE

Practice address

3742 Tibbetts St Ste 201
Riverside, CA 92506-2641

Phone

(951) 452-0067

NPI assigned

Jul 31, 2018

Organization subpart

No

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

Authorized official

Name

Emilia Ortega Jara, LCSW

Title

Owner

Phone

(951) 452-0067

Specialties & licenses 1

Addresses

Other names 1

• Corazon Counseling Other name

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

{
    "created_epoch": "1532995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548201600000",
    "number": "1891273918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3742 TIBBETTS ST STE 201",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062641",
            "telephone_number": "951-452-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3742 TIBBETTS ST STE 201",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062641",
            "telephone_number": "951-452-0067"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5790 Magnolia Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925061874",
            "country_code": "US",
            "telephone_number": "951-452-0067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CORAZON COUNSELING SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-31",
        "last_updated": "2019-01-23",
        "status": "A",
        "authorized_official_last_name": "JARA",
        "authorized_official_first_name": "EMILIA",
        "authorized_official_middle_name": "ORTEGA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-452-0067",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "61936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corazon Counseling",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Blanca E Cordero
• Cordial Care Med Transport LLC

• Clinical Social Worker in Riverside, CA
• Providers in Riverside, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; 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.