Individual provider Active NPI

Stephenie Diane Carroll, LMFT/ CADC III

  • Marriage & Family Therapist
  • Bakersfield, CA
National Provider Identifier
1063540607
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT156118 Issued in CA
Practice address
5080 California Ave Ste 100
Bakersfield, CA 93309-0794
Phone
(661) 634-9877
Fax
(661) 864-0198
NPI assigned
Mar 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Marriage & Family Therapist 106H00000X LMFT156118 CA Primary

Addresses

Primary practice location

5080 California Ave Ste 100
Bakersfield, CA 93309-0794

Mailing address

5080 California Ave Ste 100
Bakersfield, CA 93309-0794
Phone (661) 634-9877

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
LMFT156118CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kern County Hispanic Commission on Alcohol and Drug Abuse Services CurrentSince Nov 24, 2024 Accepting new patients
Bakersfield Recovery Services, Inc. Addiction (Substance Use Disorder) PastSince Apr 1, 2022 Accepting new patients
Bakersfield Recovery Services, Inc. Jason Retreat Outpatient Case Manager/Care Coordinator Past Accepting new patients

Locations

5080 California Ave
Ste 100
Bakersfield, CA 93309
Phone (661) 634-9877

Organizations & group practices 3

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": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1063540607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5080 CALIFORNIA AVE STE 100",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090794",
            "telephone_number": "661-634-9877",
            "fax_number": "661-864-0198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5080 CALIFORNIA AVE STE 100",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090794",
            "telephone_number": "661-634-9877",
            "fax_number": "661-864-0198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "STEPHENIE",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "LMFT/ CADC III",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT156118",
            "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 Jul 7, 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.