Active NPI
Carlotta Louise Red Leaf
- Mental Health Counselor
- Gridley, CA
National Provider Identifier
1336937010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 109654
- Practice address
- 995 Spruce St
Gridley, CA 95948-2128 - Phone
- (530) 846-7305
- NPI assigned
- Apr 30, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 109654 | CA | Primary |
Addresses
Primary practice location
995 Spruce St
Gridley, CA 95948-2128
Mailing address
995 Spruce St
Gridley, CA 95948-2128
Phone (530) 846-7305
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
| License | State | Type | Specialty |
|---|---|---|---|
| 109654 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745971200000",
"number": "1336937010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "995 SPRUCE ST",
"city": "GRIDLEY",
"state": "CA",
"postal_code": "959482128",
"telephone_number": "530-846-7305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "995 SPRUCE ST",
"city": "GRIDLEY",
"state": "CA",
"postal_code": "959482128",
"telephone_number": "530-846-7305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RED LEAF",
"first_name": "CARLOTTA",
"middle_name": "LOUISE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-04-30",
"last_updated": "2025-04-30",
"certification_date": "2025-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "109654",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gridley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.