Individual provider Active NPI

Carlota Soledad Kincaid, AMFT

  • Marriage & Family Therapist
  • Fresno, CA
National Provider Identifier
1265111470
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
AMFT139771 Issued in CA
Practice address
2550 W Clinton Ave Unit 311
Fresno, CA 93705-4218
Phone
(559) 264-7521
NPI assigned
Jul 14, 2023
Last updated
Aug 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Marriage & Family Therapist 106H00000X 139771 CA
Marriage & Family Therapist 106H00000X
Marriage & Family Therapist 106H00000X AMFT139771 CA Primary

Addresses

Primary practice location

2550 W Clinton Ave Unit 311
Fresno, CA 93705-4218

Mailing address

2550 W Clinton Ave Unit 311
Fresno, CA 93705-4218
Phone (559) 264-7521

Other practice location 1

2747 N Redda Rd
Fresno, CA 93737-9619
Phone (559) 375-1413

Other practice location 2

5271 W Palo Alto Ave
Fresno, CA 93722-3635
Phone (559) 276-2331

Other practice location 3

3043 W Roberts Ave
Fresno, CA 93711-2160
Phone (559) 313-9701

Other practice location 4

7133 E Cornell Ave
Fresno, CA 93737-0048
Phone (559) 375-1413

Other practice location 5

64 E Weldon Ave
Fresno, CA 93704-5956
Phone (559) 442-1947

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
139771CAMDMarriage & Family Therapist
AMFT139771CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fresno Youth Care Homes, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Manuch Inc. CurrentSince Jun 1, 2024 Accepting new patients
Fresno Youth Care Homes, Inc. PastSince Nov 21, 2021 Accepting new patients
Fresno Youth Care Homes, Inc. Marriage & Family Therapist PastSince Jul 1, 2023 Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1689292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1265111470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 W CLINTON AVE UNIT 311",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937054218",
            "telephone_number": "559-264-7521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 W CLINTON AVE UNIT 311",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937054218",
            "telephone_number": "559-264-7521"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2747 N Redda Rd",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937379619",
            "country_code": "US",
            "telephone_number": "559-375-1413",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5271 W Palo Alto Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937223635",
            "country_code": "US",
            "telephone_number": "559-276-2331",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3043 W Roberts Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937112160",
            "country_code": "US",
            "telephone_number": "559-313-9701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7133 E Cornell Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937370048",
            "country_code": "US",
            "telephone_number": "559-375-1413",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "64 E Weldon Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937045956",
            "country_code": "US",
            "telephone_number": "559-442-1947",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINCAID",
        "first_name": "CARLOTA",
        "middle_name": "SOLEDAD",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-14",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "139771",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT139771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; 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.