Carol Rose Adkisson, MA, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

83484 Issued in CA

Practice address

17057 Foothill Blvd Ste 205
Fontana, CA 92335-3523

Phone

(909) 266-7009

Fax

(909) 693-3177

NPI assigned

Feb 14, 2008

Last updated

Dec 7, 2023By the provider in NPPES

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

Other names 1

• Ms. Carol Rose Murarik Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: caroladkisson@tdh.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Healing for Humanity Counselor Inc.

  • Marriage & Family Therapist
  • Fontana, CA
  • NPI 1659148880
  NPD Authorized official
• Trauma and Healing Foundation

  dba The Trauma and Healing Foundation

  • Marriage & Family Therapist
  • Fontana, CA
  • NPI 1629600341
  NPD Authorized official
• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Mental Health

  NPD

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

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1386812170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17057 FOOTHILL BLVD STE 205",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923353523",
            "telephone_number": "909-266-7009",
            "fax_number": "909-693-3177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17057 FOOTHILL BLVD STE 205",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923353523",
            "telephone_number": "909-266-7009",
            "fax_number": "909-693-3177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADKISSON",
        "first_name": "CAROL",
        "middle_name": "ROSE",
        "name_prefix": "Ms.",
        "credential": "MA, MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-14",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "83484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "MURARIK",
            "middle_name": "ROSE",
            "prefix": "MS.",
            "credential": "LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael J. Adair, MD
• Berneva J. Adams, MD
• Caren Anntoinette Adams, RN
• Tracy Adams, B.A
• Yarameekah Adams, MD
• Advik Medical Transport LLC
• Timothy Estaban Afable, PHARMD
• Arman Afagh, MD
• Tolulope Afolabi, MS, DPM
• Siamak Afshar, D.D.S.

• Marriage & Family Therapist in Fontana, CA
• Providers in Fontana, 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 Dec 7, 2023; 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.