Carol L Captain, CAROL CAPTAIN, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MT1975 Issued in FL

Practice address

7481 W Oakland Park Blvd Ste 308
Tamarac, FL 33319-4961

Phone

(954) 465-5544

NPI assigned

May 14, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Carol Captain Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197936000000",
    "number": "1497961981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8081 PALMETTO PALM CIR",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212729",
            "telephone_number": "954-465-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7481 W OAKLAND PARK BLVD STE 308",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333194961",
            "telephone_number": "954-465-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPTAIN",
        "first_name": "CAROL",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "CAROL CAPTAIN, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "2680",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT1975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "CAPTAIN",
            "prefix": "MS.",
            "credential": "CAROL CAPTAIN,LMFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Marriage & Family Therapist in Tamarac, FL
• Providers in Tamarac, FL by specialty
• Marriage & Family Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; 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.