Individual provider Active NPI

Alejandra Carrasco, LMFT

  • Marriage & Family Therapist
  • Bakersfield, CA
National Provider Identifier
1063714665
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT114545 Issued in CA
Practice address
1909 16TH St Ste 6
Bakersfield, CA 93301-5004
Phone
(661) 475-8228
Fax
(661) 215-0950
NPI assigned
Dec 2, 2010
Last updated
Apr 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT114545 CA Primary

Addresses

Primary practice location

1909 16TH St Ste 6
Bakersfield, CA 93301-5004

Mailing address

930 Truxtun Ave Ste 107
Bakersfield, CA 93301-4700
Phone (661) 475-8228

Other practice location 1

2621 Oswell St Ste 119
Bakersfield, CA 93306-3172
Phone (661) 868-6751

Other practice location 2

5401 Business Park S Ste 208
Bakersfield, CA 93309-1661
Phone (661) 316-2647

Other names 1

  • Alex Gutierrez Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240528001415 CA Practitioner - Marriage and Family Therapist 9830531565 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMFT114545CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PC Marriage & Family Therapist CurrentSince Apr 14, 2024 Accepting new patients

Locations

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

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.

NPI Registry JSON

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

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1063714665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 TRUXTUN AVE STE 107",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933014700",
            "telephone_number": "661-475-8228",
            "fax_number": "661-215-0950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 16TH ST STE 6",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933015004",
            "telephone_number": "661-475-8228",
            "fax_number": "661-215-0950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2621 Oswell St Ste 119",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933063172",
            "country_code": "US",
            "telephone_number": "661-868-6751",
            "fax_number": "661-868-6752",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5401 Business Park S Ste 208",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933091661",
            "country_code": "US",
            "telephone_number": "661-316-2647",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARRASCO",
        "first_name": "ALEJANDRA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-02",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT114545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEX",
            "last_name": "GUTIERREZ",
            "credential": "LMFT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.