Carrie Yerdon, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT114924 Issued in CA

Practice address

2602 Mobley St
San Diego, CA 92123-3031

Phone

(619) 335-5638

NPI assigned

Apr 25, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Carrie Dietz Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Returning to You Marriage and Family Therapy

  • Marriage & Family Therapist
  • San Diego, CA
  • NPI 1679400618
  NPD Authorized official
• Psychiatric Centers at San Diego, Inc. Med GRP

  • Mental Health Counselor
  • San Diego, CA
  • NPI 1841241585

  Marriage & Family Therapist

  NPD (past)

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

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1063867208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 231104",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921931104",
            "telephone_number": "619-335-5638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2602 MOBLEY ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921233031",
            "telephone_number": "619-335-5638"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3845 Avocado School Rd",
            "address_purpose": "LOCATION",
            "city": "LA Mesa",
            "state": "CA",
            "postal_code": "919417319",
            "country_code": "US",
            "telephone_number": "619-588-3653",
            "fax_number": "619-588-3654",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1550 Hotel Cir N",
            "address_2": "Suite 270",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921082901",
            "country_code": "US",
            "telephone_number": "619-692-1581",
            "fax_number": "619-692-1588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YERDON",
        "first_name": "CARRIE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-25",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF83555",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT114924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "carrie@returningtoyoutherapy.org",
            "affiliation": "N",
            "endpointDescription": "HIPPA secured email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2602 Mobley St",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921233031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CARRIE",
            "last_name": "DIETZ",
            "credential": "RBT, IMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• David John Yeo
• Gillian S Yeo, MD
• Maria Lourdes Yap Yeo, DDS
• Mina Yeo
• Cynthia Ileana Yepez Romo
• Elizabeth Dane Yergen, IDC
• Andrea Jean Yeric
• Carmela Yerkes, L.AC
• Emily Yette
• Morgan Yetter, PHARMD

• Marriage & Family Therapist in San Diego, CA
• Providers in San Diego, 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 Jul 21, 2022; 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.