Active NPI
Moneisa Carson
- Marriage & Family Therapist
- Fremont, CA
National Provider Identifier
1497200372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 94870
- Practice address
- 3200 Kearney St
Fremont, CA 94538-2299 - Phone
- (510) 490-1222
- NPI assigned
- Aug 20, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 94870 | CA | Primary |
Addresses
Primary practice location
3200 Kearney St
Fremont, CA 94538-2299
Mailing address
PO Box 276950
Sacramento, CA 95827-6950
Phone (510) 490-1222
Other practice location 1
1898 The Alameda Ste 115
San Jose, CA 95126-1733
Phone (650) 771-1517 ext. 49
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Suite 276950
Sacramento, CA 95827
PO Box
Suite 276950
Sacramento, CA 95827-6950
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 94870 | CA | MD | Marriage & Family Therapist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Palo Alto Medial Foundation
- Multi-Specialty Clinic/Center
- Palo Alto, CA
- NPI 1013950807
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775433600000",
"number": "1497200372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 276950",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958276950",
"telephone_number": "510-490-1222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 KEARNEY ST",
"city": "FREMONT",
"state": "CA",
"postal_code": "945382299",
"telephone_number": "510-490-1222"
}
],
"practiceLocations": [
{
"address_1": "1898 The Alameda Ste 115",
"address_purpose": "LOCATION",
"city": "San Jose",
"state": "CA",
"postal_code": "951261733",
"country_code": "US",
"telephone_number": "650-771-1517 x49",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARSON",
"first_name": "MONEISA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-20",
"last_updated": "2026-04-06",
"certification_date": "2026-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "94870",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.