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LAQUANDA AUTREY
NPI 1881568129
Marriage & Family Therapist in Corona, CA

Active since September 30, 2025PECOS Enrolled
1348 BROOKDALE DR, CORONA, CA 92878(951) 254-2451 Get Directions Write a Review

NPPES record last updated: April 11, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 11, 2026, Apr 2, 2026 (2 updates tracked since 2026).

About Laquanda Autrey NPPES

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

LAQUANDA AUTREY (NPI 1881568129) is an individual marriage & family therapist in Corona, California, licensed in California (LMFT162633) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1881568129
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameLAQUANDA AUTREY
Location Address1348 BROOKDALE DRCorona, CA 92878-3621
Mailing Address1348 Brookdale DrCorona, CA 92878-3621 · (951) 254-2451
Phone(951) 254-2451
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateSeptember 30, 2025
Last NPPES UpdateApril 11, 20262 updates tracked since enumeration
NPPES CertifiedApril 11, 2026
✔ NPI 1881568129 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 · LMFT162633
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.
1348 BROOKDALE DR, Corona, CA 92878
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Laquanda Autrey is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID446727176
PECOS Enrollment IDI20260429003769
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 Laquanda Autrey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PC
339 mi
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group
NPI 1154994846 (408) 402-4385

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

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

GLORIA RUFFIN
Marriage & Family Therapist
1348 BROOKDALE DR
CORONA, CA 92878
Riverside County (310) 989-4060

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 Laquanda Autrey's NPI number?

The NPI number for Laquanda Autrey is 1881568129. It was assigned to this individual provider in the NPPES registry on September 30, 2025.

Where is Laquanda Autrey located?

Laquanda Autrey practices at 1348 Brookdale Dr, Corona, CA 92878. The listed phone number is (951) 254-2451.

What is Laquanda Autrey's specialty?

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

Is Laquanda Autrey enrolled in Medicare?

Yes. Laquanda Autrey is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Laquanda Autrey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Laquanda Autrey reassigns Medicare benefits to Grow Healthcare Group PC (San Jose, 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 Laquanda Autrey'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 Laquanda Autrey was last updated on April 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.