LAURA DEPP CORCORRAN MFT - NPI 1740413368 - Marriage & Family Therapist in Glendale, CA

Q: What is the provider's specialty?

The provider's specialty is Marriage & Family Therapist with taxonomy code 106H00000X.

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About Laura Depp Corcorran Mft NPPES

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

LAURA DEPP CORCORRAN MFT (NPI 1740413368) is an individual marriage & family therapist in Glendale, California, licensed in California (MFC44902) and active in the NPI registry since August 2009. She has opted out of Medicare through February 17, 2027.

NPPES Registry Identity

NPI1740413368

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameLAURA DEPP CORCORRANCredential: MFT

Location Address6425 SAN FERNANDO RDGlendale, CA 91201-3624

Mailing Address6425 San Fernando RdGlendale, CA 91201-3624 · (818) 397-0636

Phone(818) 397-0636

Sole ProprietorYes

Enumeration DateAugust 30, 2009

Last NPPES UpdateApril 9, 2025

NPPES CertifiedApril 2, 2025

✔ NPI 1740413368 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 · MFC44902

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.

6425 SAN FERNANDO RD, Glendale, CA 91201

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Laura Depp Corcorran Mft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 17, 2025 through February 17, 2027.

Opt-Out Effective DateFebruary 17, 2025

Opt-Out In Effect ThroughFebruary 17, 2027Opt-out affidavits renew automatically every two years unless cancelled

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.

MR. BRIAN CONLAN MSW LCSW

Counselor