Individual provider Active NPI

Carter Rose

  • Marriage & Family Therapist
  • San Luis Obispo, CA
National Provider Identifier
1073968038
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
1411 Marsh St Ste 201
San Luis Obispo, CA 93401-2968
Phone
(805) 694-4828
NPI assigned
Apr 27, 2016
Last updated
May 14, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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 Primary

Addresses

Primary practice location

1411 Marsh St Ste 201
San Luis Obispo, CA 93401-2968

Mailing address

1411 Marsh St Ste 201
San Luis Obispo, CA 93401-2968
Phone (805) 694-4828

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Trauma Healing Center Marriage & Family Therapy Corp. Marriage & Family Therapist CurrentSince May 24, 2026 Accepting new patients
Telecare Corporation PastSince Jun 2, 2024 Accepting new patients

Locations

1411 Marsh St
Ste 201
San Luis Obispo, CA 93401
Phone (805) 242-3683

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, 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": "1461715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1073968038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 MARSH ST STE 201",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012968",
            "telephone_number": "805-694-4828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 MARSH ST STE 201",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012968",
            "telephone_number": "805-694-4828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "CARTER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-27",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

Verify at the official NPI Registry.