Individual provider Active NPI

Sandra M Carlson, LMFT

  • Marriage & Family Therapist
  • Apple Valley, CA
National Provider Identifier
1043850852
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
136204 Issued in CA
Practice address
16195 Siskiyou Rd Ste 120B
Apple Valley, CA 92307-1346
Phone
(760) 523-2140
NPI assigned
Jan 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 136204 CA Primary
Marriage & Family Therapist 106H00000X 110861 CA

Addresses

Primary practice location

16195 Siskiyou Rd Ste 120B
Apple Valley, CA 92307-1346

Mailing address

15906 Silver Tip Way
Victorville, CA 92394-6403
Phone (760) 217-6437

Other practice location 1

17800 US Highway 18
Apple Valley, CA 92307-1221
Phone (760) 217-6437

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

State licenses

LicenseStateTypeSpecialty
110861CAMDMarriage & Family Therapist
136204CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mindfully Balanced Mental Health and Wellness Foundation Marriage & Family Therapist Current Accepting new patients
Mindfully Balanced Marriage & Family Therapist CurrentSince Apr 1, 2024 Accepting new patients

Locations

16209 Kamana Rd
Apple Valley, CA 92307
Phone (760) 513-6090

16195 Siskiyou Rd
Ste 120B
Apple Valley, CA 92307
Phone (760) 523-2140

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1578528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769385600000",
    "number": "1043850852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15906 SILVER TIP WAY",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923946403",
            "telephone_number": "760-217-6437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16195 SISKIYOU RD STE 120B",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923071346",
            "telephone_number": "760-523-2140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17800 US Highway 18",
            "address_purpose": "LOCATION",
            "city": "Apple Valley",
            "state": "CA",
            "postal_code": "923071221",
            "country_code": "US",
            "telephone_number": "760-217-6437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "SANDRA",
        "middle_name": "M",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-09",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "136204",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "110861",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; 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.