CORLISS E. PORTER MFT
NPI 1235316571
Marriage & Family Therapist in Thousand Oaks, CA

Q: What is Corliss Porter's NPI number?

The NPI number for Corliss Porter is 1235316571. It was assigned to this individual provider in the NPPES registry on January 29, 2008.

Q: What is Corliss Porter's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Corliss Porter was last updated on December 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since January 29, 2008PECOS Enrolled

501 MARIN ST STE 202, THOUSAND OAKS, CA 91360(805) 702-5420 Get Directions Write a Review

NPPES record last updated: December 30, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Corliss E. Porter Mft NPPES

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

CORLISS E. PORTER MFT (NPI 1235316571) is an individual marriage & family therapist in Thousand Oaks, California, licensed in California (MFT 11926) and active in the NPI registry since January 2008. She is enrolled in Medicare PECOS and is a graduate of Other (1977).

NPPES Registry Identity

NPI1235316571

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameCORLISS E. PORTERCredential: MFT

Location Address501 MARIN ST STE 202Thousand Oaks, CA 91360-4266

Mailing AddressPo Box 3503Santa Barbara, CA 93130-3503 · (805) 451-9419

Phone(805) 702-5420

Sole ProprietorNo

Medical School CMSOtherGraduated 1977

Enumeration DateJanuary 29, 2008

Last NPPES UpdateDecember 30, 2020

NPPES CertifiedDecember 30, 2020

✔ NPI 1235316571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · MFT 11926

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

501 MARIN ST STE 202, Thousand Oaks, CA 91360

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Corliss E. Porter Mft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID446745780

PECOS Enrollment IDI20251223003725

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 6

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

MRS. SUSAN GAY LAMB LMFT

Marriage & Family Therapist