CRYSTAL LIZ CORONA MENDOZA LMFT, APCC - NPI 1750768206 - Marriage & Family Therapist in Chula Vista, 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 Crystal Liz Corona Mendoza Lmft, Apcc NPPES

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

CRYSTAL LIZ CORONA MENDOZA LMFT, APCC (NPI 1750768206) is an individual marriage & family therapist in Chula Vista, California, licensed in California (LMFT119578) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Oceanside, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1750768206

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameCRYSTAL LIZ CORONA MENDOZACredential: LMFT, APCC

Location Address2300 BOSWELL RD STE 245Chula Vista, CA 91914-3539

Mailing Address2300 Boswell Rd Ste 245Chula Vista, CA 91914-3539 · (619) 549-0329 · Fax (619) 550-3547

Phone(619) 549-0329

Fax(619) 550-3547

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateMay 5, 2015

Last NPPES UpdateJuly 17, 20203 updates tracked since enumeration

NPPES CertifiedJuly 17, 2020

✔ NPI 1750768206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · LMFT119578

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.

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 2905 (CA)

2300 BOSWELL RD STE 245, Chula Vista, CA 91914

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Other Names 1

Former Name (1)Crystal Liz Corona

Secondary Practice Location 1

Location 11919 Apple St, Suite AOceanside, CA 92054-4425 · Phone (760) 439-4577

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Crystal Liz Corona Mendoza Lmft, Apcc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183076086

PECOS Enrollment IDI20240116003645

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 8

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

MATTILYN NICOLE MILLMAN LMFT

Marriage & Family Therapist