Individual provider Active NPI

Carissa Anne Pappas, IMFT

  • Marriage & Family Therapist
  • Oceanside, CA
National Provider Identifier
1457803470
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
130892 Issued in CA
Practice address
2204 S El Camino Real Ste 315
Oceanside, CA 92054-6390
Phone
(760) 500-3325
NPI assigned
Oct 25, 2016
Last updated
Feb 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 130892 CA Primary

Addresses

Primary practice location

2204 S El Camino Real Ste 315
Oceanside, CA 92054-6390

Mailing address

6994 El Camino Real
Suite 205
Carlsbad, CA 92009-4116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
130892CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Health Services Apc CurrentSince Apr 1, 2022 Accepting new patients
Arilda Surridge, LMFT Marriage & Family Therapist Past Accepting new patients

Locations

2204 S El Camino Real
Ste 315
Oceanside, CA 92054
Phone (442) 244-0019

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1477353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1457803470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6994 EL CAMINO REAL",
            "address_2": "SUITE 205",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920094116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 S EL CAMINO REAL STE 315",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920546390",
            "telephone_number": "760-500-3325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPPAS",
        "first_name": "CARISSA",
        "middle_name": "ANNE",
        "credential": "IMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-25",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "130892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; 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.