Carolina Dozal
Individual provider Active NPI Mental Health Counselor · Stevenson Ranch, CA
NPI 1316635436 · NPPES record last updated Oct 27, 2023
Key facts
- NPI
- 1316635436
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 7802 (CA)
- Practice address
- 26123 Singer PL
Stevenson Ranch, CA 91381-1114 - Phone
- (166) 190-4525
- NPI assigned
- Apr 26, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7802 | CA | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 7802 | CA | Yes |
Addresses
Primary practice location
26123 Singer PL
Stevenson Ranch, CA 91381-1114
Mailing address
26123 Singer PL
Stevenson Ranch, CA 91381-1114
Phone (661) 904-5255
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) | Southern California Permanente Medical Group |
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All providers in Stevenson Ranch, CA · Mental Health Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.