Brian Jon Carlson, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

79097 Issued in CA

Practice address

20258 US Highway 18 Ste 430-539
Apple Valley, CA 92307-6197

Phone

(760) 946-9300

Fax

(760) 334-8245

NPI assigned

Jun 10, 2011

Sex

Male

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

Locations

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.

• Brian Carlson MFT

  • Mental Health Counselor
  • Apple Valley, CA
  • NPI 1407415433
  NPD

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

{
    "created_epoch": "1307664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1194010702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20258 US HIGHWAY 18 STE 430-539",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923076197",
            "telephone_number": "760-946-9300",
            "fax_number": "760-334-8245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20258 US HIGHWAY 18 STE 430-539",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923076197",
            "telephone_number": "760-946-9300",
            "fax_number": "760-334-8245"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1618 Redwing Ct",
            "address_purpose": "LOCATION",
            "city": "Punta Gorda",
            "state": "FL",
            "postal_code": "339506677",
            "country_code": "US",
            "telephone_number": "760-946-9300",
            "fax_number": "760-334-8245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "BRIAN",
        "middle_name": "JON",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-10",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "79097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caremore Health Plan
• Carewell Medical Group Inc
• Dominador Frederick P Cariaso Jr., M.D.
• Caring Hands Elderly Care
• Erendira Carlos, CHW
• Michelle Carlson, LEP
• Sandra M Carlson, LMFT
• Kayla Michele Carlucci
• Christine Tracey Caro del Castillo
• Frederick Juliano Carpio

• Marriage & Family Therapist in Apple Valley, CA
• Providers in Apple Valley, 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 Apr 25, 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.