Active NPI
Amy Carlson, M.A., LMFT
- Marriage & Family Therapist
- Bakersfield, CA
National Provider Identifier
1013046952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 111717
- Practice address
- 5801 Sundale Ave
Bakersfield, CA 93309 - Phone
- (661) 827-3100
- Fax
- (661) 396-2961
- NPI assigned
- Mar 5, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 111717 | CA | Primary |
Addresses
Primary practice location
5801 Sundale Ave
Bakersfield, CA 93309
Mailing address
PO Box 22592
Bakersfield, CA 93390-2592
Phone (661) 900-2115
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111717 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569974400000",
"number": "1013046952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22592",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933902592",
"telephone_number": "661-900-2115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5801 SUNDALE AVE",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "93309",
"telephone_number": "661-827-3100",
"fax_number": "661-396-2961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLSON",
"first_name": "AMY",
"credential": "M.A., LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-05",
"last_updated": "2019-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "111717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.