Support 4 Heroes LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

SUPPORT 4 HEROES LLC

Practice address

45562 Stanridge Ave
Lancaster, CA 93535-1820

Phone

(661) 434-1943

NPI assigned

Jun 4, 2021

Last updated

Jun 4, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amber Marie Carra, LMFTNPI 1972893584

Title

Chief Clinical Director

Phone

(661) 434-1943

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amber Marie Carra, LMFT117061

  • Marriage & Family Therapist
  • Lancaster, CA
  • NPI 1972893584
  NPD Authorized official

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

{
    "created_epoch": "1622764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622764800000",
    "number": "1316514821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45562 STANRIDGE AVE",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935351820",
            "telephone_number": "661-434-1943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45562 STANRIDGE AVE",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935351820",
            "telephone_number": "661-434-1943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORT 4 HEROES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-04",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A",
        "authorized_official_last_name": "CARRA",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CHIEF CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "661-434-1943",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "15066191",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Lancaster, CA
• Providers in Lancaster, 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 Jun 4, 2021; 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.