Active NPI
Carlynn Capozza
- Marriage & Family Therapist
- Carlsbad, CA
National Provider Identifier
1053099408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- AMFT139793
- Practice address
- 2386 Faraday Ave Ste 140
Carlsbad, CA 92008-7222 - Phone
- (760) 496-9394
- NPI assigned
- Jul 6, 2023
- Last updated
- Jul 6, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | AMFT139793 | CA | Primary |
Addresses
Primary practice location
2386 Faraday Ave Ste 140
Carlsbad, CA 92008-7222
Mailing address
2386 Faraday Ave Ste 140
Carlsbad, CA 92008-7222
Phone (760) 496-9394
Other names 1
- Carly Capozza
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
| License | State | Type | Specialty |
|---|---|---|---|
| AMFT139793 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lotus Rising Holistic Therapy Center a Marriage and Family Therapy Company | Marriage & Family Therapist | Current | Accepting new patients |
Locations
2386 Faraday Ave
Ste 140
Carlsbad, CA 92008
Phone (657) 215-0909
Organizations & group practices 1
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.
-
- Marriage & Family Therapist
- Carlsbad, CA
- NPI 1174159875
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688601600000",
"number": "1053099408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2386 FARADAY AVE STE 140",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920087222",
"telephone_number": "760-496-9394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2386 FARADAY AVE STE 140",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920087222",
"telephone_number": "760-496-9394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAPOZZA",
"first_name": "CARLYNN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-07-06",
"last_updated": "2023-07-06",
"certification_date": "2023-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "AMFT139793",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CARLY",
"last_name": "CAPOZZA",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Carlsbad, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.