Carol A Wolleson, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC21992 Issued in CA

Practice address

2960 Camino Diablo
Suite 200
Walnut Creek, CA 94597-3988

Phone

(510) 420-1366

Fax

(510) 653-8167

NPI assigned

Jul 10, 2006

Reactivated

Jan 18, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124052196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "758 KINGSTON AVE",
            "address_2": "NO 202",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946114402",
            "telephone_number": "510-420-1366",
            "fax_number": "510-653-8167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2960 CAMINO DIABLO",
            "address_2": "SUITE 200",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945973988",
            "telephone_number": "510-420-1366",
            "fax_number": "510-653-8167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLLESON",
        "first_name": "CAROL",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-07-08",
        "deactivation_date": "2006-08-30",
        "reactivation_date": "2007-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC21992",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T0196",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marianne Wolfe
• Donald Robert Wolff, MD
• Jay Wolff
• John P. Woll, MD
• Lisa A. Woll, MD
• Stephanie Wolper, LCSW
• Charlotte Anne Wolter, M.F.T.
• Women'S Primary Health Physicians Diablo Valley
• Womens Health Partners of California Inc
• Womens' Health Partners of California

• Marriage & Family Therapist in Walnut Creek, CA
• Providers in Walnut Creek, 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 8, 2007; 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.