Carolyn Marie Bascon

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

204863 Issued in TX

Practice address

3613 Williams Dr Ste 804
Georgetown, TX 78628-1374

Phone

(512) 400-4247

NPI assigned

Jul 10, 2023

Last updated

Jul 10, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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.

• Claritas Relational Therapy PLLC

  dba Claritas Relational Therapy

  • Marriage & Family Therapist
  • Hutto, TX
  • NPI 1609665413
  NPD Authorized official

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1275211237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 CLOUD RD",
            "city": "HUTTO",
            "state": "TX",
            "postal_code": "786344388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3613 WILLIAMS DR STE 804",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786281374",
            "telephone_number": "512-400-4247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASCON",
        "first_name": "CAROLYN",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "204863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Barnes, FNP-C
• Tyler Barnes
• Charlotte A Barr
• Nancy Barr, LMFT
• Albert H Bartschmid, M.D.
• John Carlo Shun Base, OTR
• Karla Basulto
• David Baugh I
• Brenna Baxter
• Baylor Scott & White Health Enterprises, Inc. (Baylor Scott & White Pharmacy #202)

• Marriage & Family Therapist in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Marriage & Family Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; 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.