Carley Jacquelynn Mason, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

4180 Issued in MN

Practice address

79 13TH Ave NE Ste 103B
Minneapolis, MN 55413-1071

Phone

(952) 808-1400

NPI assigned

May 31, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Carley Counseling, LLC

  • Mental Health Counselor
  • South Saint Paul, MN
  • NPI 1730965807
  NPD Authorized official
• Heart of the City Counseling, Inc.

  • Community/Behavioral Health Agency
  • Burnsville, MN
  • NPI 1982984845
  NPD (past)

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

{
    "created_epoch": "1685491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1114610508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 COUNTY ROAD 42 W STE 309",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553066213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 13TH AVE NE STE 103B",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554131071",
            "telephone_number": "952-808-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "CARLEY",
        "middle_name": "JACQUELYNN",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-31",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "4180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rohit Masih, M.D.
• Mats Steffi Jennifer Masilamani, MD
• Maskoffs LLC
• Natasha-Helena Kauioihilani Masloksi
• Kenneth K Maslonka, M.D.
• Kathryn M Mason
• Ronald H Mason, MD
• Adnan Masood, MD
• Bobbie Turner Masoud, PHARM D.
• Massage for Life, LLC

• Marriage & Family Therapist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.

Verify at the official NPI Registry.