Caryn H Coulam, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT41490 Issued in CA

Practice address

4551 Glencoe Ave
Marina del Rey, CA 90292-6385

Phone

(310) 740-6690

NPI assigned

Nov 30, 2017

Last updated

Sep 29, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• DW Management Enterprises Inc.

  dba Life Adjustment Team

  • Community/Behavioral Health Agency
  • Marina del Rey, CA
  • NPI 1588793160
  NPD (past)
• Lat Intensive Outpatient Programs Inc

  • Community/Behavioral Health Agency
  • Marina del Rey, CA
  • NPI 1306265954
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1512000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1043724818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2235 WELLESLEY AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641123",
            "telephone_number": "310-740-6690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4551 GLENCOE AVE",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926385",
            "telephone_number": "310-740-6690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COULAM",
        "first_name": "CARYN",
        "middle_name": "H",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-30",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT41490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Costco Wholesale Corporation (Costco Optical #479)
• Costco Wholesale Corporation
• Costco Wholesale Corporation (Costco Hearing Aid #479)
• Cynthia Joy Cotharn, M.D.
• Katherine Price Cottle
• Carla N Crespo, PA-C
• Charles William Crook
• Tina R Crowe, MSW
• Erin Crymes
• Curtis F. Veal, MD, Inc

• Marriage & Family Therapist in Marina del Rey, CA
• Providers in Marina del Rey, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.