Laurie F Carmichael, MS, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

121489 Issued in CA

Practice address

650 Sierra Madre Villa Ave Ste 110
Pasadena, CA 91107-2040

Phone

(626) 351-9616

Fax

(626) 351-9493

NPI assigned

Oct 16, 2020

Sex

Female

Sole proprietor

Yes

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 9, 2024 through Jan 9, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1602806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602806400000",
    "number": "1376141721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "634 W SIERRA MADRE BLVD APT M",
            "city": "SIERRA MADRE",
            "state": "CA",
            "postal_code": "910242278",
            "telephone_number": "818-515-1351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 SIERRA MADRE VILLA AVE STE 110",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911072040",
            "telephone_number": "626-351-9616",
            "fax_number": "626-351-9493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARMICHAEL",
        "first_name": "LAURIE",
        "middle_name": "F",
        "credential": "MS, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-16",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "121489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Beth Carlson
• Wendy L Carlson, LCSW
• Greg Arthur Carlsson, LMFT
• Valerie Carlton-Lewis
• Patricia Carmalt, MFT
• John Patrick Carmody, M.D.
• Veronica Carmona
• Philip Maxwell Caro
• Carol Anne Walker & John J Mangoni MDS
• Caroline Madden, MFT

• Marriage & Family Therapist in Pasadena, CA
• Providers in Pasadena, 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 Oct 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.