Brian Carlson MFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

BRIAN CARLSON MFT

Practice address

18888 US Highway 18 Ste 201
Apple Valley, CA 92307-2315

Phone

(760) 946-9300

Fax

(760) 946-9300

NPI assigned

Jun 12, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Cheli Lopez

Title

Credentialing

Phone

(760) 946-9300

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brian Jon Carlson, LMFT

  • Marriage & Family Therapist
  • Apple Valley, CA
  • NPI 1194010702
  NPD

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560297600000",
    "number": "1407415433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18888 US HIGHWAY 18 STE 201",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072315",
            "telephone_number": "760-946-9300",
            "fax_number": "760-946-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18888 US HIGHWAY 18 STE 201",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072315",
            "telephone_number": "760-946-9300",
            "fax_number": "760-946-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN CARLSON MFT",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-12",
        "last_updated": "2019-06-12",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "CHELI",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "760-946-9300",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaimee Renee Bravo, PTA
• Cindy Ellen Bray
• Breeze Medical Group PC
• Kristian W Brenes, MA
• Monique Brewah
• Kashmona U Bridget
• Bright Path Tutoring LLC
• Cherish Anne Bright
• Ned Scott Broberg
• Laura Brock

• Mental Health Counselor in Apple Valley, CA
• Providers in Apple Valley, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; 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.