Angela Irene Carlos, LMFT
Individual provider Active NPI Marriage & Family Therapist · Temple City, CA
NPI 1205640232 · NPPES record last updated Jan 31, 2025
Key facts
- NPI
- 1205640232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 146943 (CA)
- Practice address
- 5616 Temple City Blvd Apt E
Temple City, CA 91780-2553 - Phone
- (818) 741-6129
- NPI assigned
- Jan 31, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Marriage and Family Therapist
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Mindful Lemon Marriage and Family Therapy Inc
Practice addresses (Care Compare)
Santa Clarita, CA 91350
Phone (855) 435-3801
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250219002953 | CA | Practitioner - Marriage and Family Therapist | 7214457316 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146943 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindful Lemon Marriage and Family Therapy, Inc | Marriage & Family Therapist | Current |
Accepting new patients |
| TML Behavioral Health Group LLC | Current |
Accepting new patients |
Locations
21125 Centre Pointe Pkwy
Santa Clarita, CA 91350
Phone (554) 353-8018
106 Langtree Village Dr
Ste 301
Mooresville, NC 28117
Phone (704) 457-1368
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 146943 | CA | Yes |
Addresses
Primary practice location
5616 Temple City Blvd Apt E
Temple City, CA 91780-2553
Mailing address
5616 Temple City Blvd Apt E
Temple City, CA 91780-2553
Phone (818) 741-6129
Other providers in Temple City, CA
- Dean Bu
- Joseph William Burton
- Jay Bystrom
- Caldero Chiropractic, Inc.
- James Anthony Caldero
- Kevinz Carpio
- Yvan Carpio
- Lamesha Carter
- Kristen Castro
- CHI Wa Chan
All providers in Temple City, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 31, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.