Active NPI
Carlie Therapist Support LLC
- Peer Specialist
- Sacramento, CA
National Provider Identifier
1366399511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Legal business name
- CARLIE THERAPIST SUPPORT LLC
- Practice address
- 10151 Satow Dr
Sacramento, CA 95827-2408 - Phone
- (916) 495-0502
- NPI assigned
- Mar 16, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carlie Breed
- Title
- Mobile Peer Specialist
- Phone
- (916) 495-0502
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Primary |
Addresses
Primary practice location
10151 Satow Dr
Sacramento, CA 95827-2408
Mailing address
10151 Satow Dr
Sacramento, CA 95827-2408
Phone (916) 495-0502
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773619200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773619200000",
"number": "1366399511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10151 SATOW DR",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958272408",
"telephone_number": "916-495-0502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10151 SATOW DR",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958272408",
"telephone_number": "916-495-0502"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARLIE THERAPIST SUPPORT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-16",
"last_updated": "2026-03-16",
"certification_date": "2026-03-15",
"status": "A",
"authorized_official_last_name": "BREED",
"authorized_official_first_name": "CARLIE",
"authorized_official_title_or_position": "MOBILE PEER SPECIALIST",
"authorized_official_telephone_number": "916-495-0502"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.