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

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: November 08, 2026.

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, maintains a secondary practice location in Ventura, 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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Secondary Practice Location 1

Location 11065 E Main StVentura, CA 93001-3027 · Phone (805) 652-0596 ext. 26

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Corliss Porter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Circle Of Life Counseling Center
Same address
Marriage & Family Therapist
501 MARIN ST STE 114
Thousand Oaks, CA 91360
  • Reassigned Medicare billing, California enrollment
  • 7 clinicians in this Medicare group
NPI 1568912541 (805) 494-1414

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
501 MARIN ST STE 202
THOUSAND OAKS, CA 91360
Ventura County (805) 494-1414
PARSHAW BARATI-MARNANI MA
Marriage & Family Therapist
501 MARIN ST STE 202
THOUSAND OAKS, CA 91360
Ventura County (818) 445-0574
MISS SAMANTHA ROBYN KERDMAN M.A.ED., M.A., LMFT
Marriage & Family Therapist
501 MARIN ST STE 202
THOUSAND OAKS, CA 91360
Ventura County (805) 494-1414
JASON BLANTON LMFT
Marriage & Family Therapist
501 MARIN ST STE 202
THOUSAND OAKS, CA 91360
Ventura County (805) 494-1414
GEORGINA GARCIA LMFT
Marriage & Family Therapist
501 MARIN ST STE 202
THOUSAND OAKS, CA 91360
Ventura County (805) 494-1414
SARAH ALETHEA DE LOS SANTOS PSY.D.
Counselor (Mental Health)
501 MARIN ST STE 202
THOUSAND OAKS, CA 91360
Ventura County (818) 324-0423

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 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.

Where is Corliss Porter located?

Corliss Porter practices at 501 Marin St Ste 202, Thousand Oaks, CA 91360. The listed phone number is (805) 702-5420.

What is Corliss Porter's specialty?

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

Is Corliss Porter enrolled in Medicare?

Yes. Corliss Porter is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Corliss Porter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Corliss Porter reassigns Medicare benefits to Circle Of Life Counseling Center (Thousand Oaks, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Corliss Porter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.