COREY MACEDON
NPI 1053618702
Counselor in San Jacinto, CA

Active since February 15, 2011
1604 S SANTA FE AVE, SUITE 403, SAN JACINTO, CA 92583(951) 654-2026(951) 654-9927 Get Directions Write a Review

NPPES record last updated: February 15, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Corey Macedon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COREY MACEDON (NPI 1053618702) is an individual counselor in San Jacinto, California and active in the NPI registry since February 2011.

NPPES Registry Identity

NPI1053618702
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameCOREY MACEDON
Location Address1604 S SANTA FE AVE, SUITE 403San Jacinto, CA 92583-5060
Mailing Address5870 Arlington Ave, Suite 103Riverside, CA 92504-2037 · (951) 683-6596 · Fax (951) 683-4239
Fax(951) 654-9927
Sole ProprietorNo
Enumeration DateFebruary 15, 2011
NPI 1053618702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
1604 S SANTA FE AVE, San Jacinto, CA 92583

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Marriage & Family Therapist
1604 S SANTA FE AVE, SUITE 403
SAN JACINTO, CA 92583
Counselor (Mental Health)
1604 S SANTA FE AVE, SUITE 403
SAN JACINTO, CA 92583

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Corey Macedon's NPI number?

The NPI number for Corey Macedon is 1053618702. It was assigned to this individual provider in the NPPES registry on February 15, 2011.

Where is Corey Macedon located?

Corey Macedon practices at 1604 S Santa Fe Ave Suite 403, San Jacinto, CA 92583. The listed phone number is (951) 654-2026.

What is Corey Macedon's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Corey Macedon was last updated on February 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.