Brave Little Hooves Licensed Professional Clinical Counselor

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

BRAVE LITTLE HOOVES LICENSED PROFESSIONAL CLINICAL COUNSELOR

Practice address

11925 Blake Rd
Wilton, CA 95693-8537

Phone

(209) 730-6425

NPI assigned

Oct 30, 2025

Organization subpart

No

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

Authorized official

Name

Carmen CarlNPI 1881059145

Title

Ceo

Phone

(209) 730-6425

Specialties & licenses 1

Addresses

Practitioners 1

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

• Carmen Carl

  • Professional Counselor
  • Elk Grove, CA
  • NPI 1881059145
  NPD Authorized official

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

{
    "created_epoch": "1761782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761782400000",
    "number": "1427927409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 401",
            "city": "WILTON",
            "state": "CA",
            "postal_code": "956930401",
            "telephone_number": "209-730-6425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11925 BLAKE RD",
            "city": "WILTON",
            "state": "CA",
            "postal_code": "956938537",
            "telephone_number": "209-730-6425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAVE LITTLE HOOVES LICENSED PROFESSIONAL CLINICAL COUNSELOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-30",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A",
        "authorized_official_last_name": "CARL",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "209-730-6425"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Merly Dancel Aguda
• Quinndena Brass
• Cataleen Burgess-Pal
• Shane Fuller
• Amber Lee Garza, LMFT # 97120
• Michael William Hansen, MS
• Inaya Mohamad Hazime, PHARM.D.

• Mental Health Counselor in Wilton, CA
• Providers in Wilton, 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 Oct 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.

Verify at the official NPI Registry.