Carolina Shahverdiyeva, B.A., B.S.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

957 Industrial Rd
Suite B
San Carlos, CA 94070-4151

Phone

(650) 832-6791

Fax

(650) 620-9549

NPI assigned

Aug 31, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Carolina Mojica-Lopez Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts, Bachelor of Science

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

{
    "created_epoch": "1283212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439424000000",
    "number": "1124334917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "957 INDUSTRIAL RD",
            "address_2": "SUITE B",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940704151",
            "telephone_number": "650-832-6791",
            "fax_number": "650-620-9549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "957 INDUSTRIAL RD",
            "address_2": "SUITE B",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940704151",
            "telephone_number": "650-832-6791",
            "fax_number": "650-620-9549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHVERDIYEVA",
        "first_name": "CAROLINA",
        "credential": "B.A., B.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-31",
        "last_updated": "2015-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLINA",
            "last_name": "MOJICA-LOPEZ",
            "credential": "CFAAP RS 6514",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Nick Selimis, D.C.
• Alexis Ann Semanchuk, RPH
• Gladys Minet Sepulveda, D.C.
• Lama Borhan Shaaban
• Alireza Shafaie, MD
• Shahbaz M Shaikh
• Adi Shakti, OT
• Rebecca Shapiro
• Jacqueline Shauh, PHARMD
• Ashley Necole Sheehy

• Mental Health Counselor in San Carlos, CA
• Providers in San Carlos, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2015; 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.