Anthony Shawn Carson, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

111892 Issued in CA

Practice address

1400 E Cooley Dr Ste 200a
Colton, CA 92324-3939

Phone

(909) 295-5295

Fax

(909) 295-5295

NPI assigned

Feb 27, 2015

Sex

Male

Sole proprietor

No

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

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.

• Hope Avenue Marriage and Family Therapy Inc.

  • Community/Behavioral Health Agency
  • Colton, CA
  • NPI 1235763574
  NPD Authorized official

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

{
    "created_epoch": "1424995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557964800000",
    "number": "1225420201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30300 ANTELOPE RD APT 828",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925849467",
            "telephone_number": "909-708-5849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E COOLEY DR STE 200A",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923243939",
            "telephone_number": "909-295-5295",
            "fax_number": "909-295-5295"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30300 Antelope Rd Apt 828",
            "address_purpose": "LOCATION",
            "city": "Menifee",
            "state": "CA",
            "postal_code": "925849467",
            "country_code": "US",
            "telephone_number": "909-708-5849",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30300 Antelope Rd Apt 828",
            "address_purpose": "LOCATION",
            "city": "Menifee",
            "state": "CA",
            "postal_code": "925849467",
            "country_code": "US",
            "telephone_number": "909-708-5849",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30300 Antelope Rd Apt 828",
            "address_purpose": "LOCATION",
            "city": "Menifee",
            "state": "CA",
            "postal_code": "925849467",
            "country_code": "US",
            "telephone_number": "909-708-5849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARSON",
        "first_name": "ANTHONY",
        "middle_name": "SHAWN",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-27",
        "last_updated": "2019-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "IMF81612",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "111892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Braeden Carrico, D.O.
• Yvette Carrillo, DDS
• Iliana Carroll
• Jamel Carroll
• Joslyn Carroll, MS
• Michael Alan Carter, DO
• Daniela Casas, PA-C
• Cassandra E Casey, LVN
• Cameron Jason Casillas, MD
• Meljorie Castelo, REGISTERED NURSE

• Marriage & Family Therapist in Colton, CA
• Providers in Colton, 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 May 16, 2019; 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.