Active NPI
Susan Patricia Carey, MFTI
- Mental Health Counselor
- Costa Mesa, CA
National Provider Identifier
1528082765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- IMF 38841
- Practice address
- 2183 Fairview Rd
100
Costa Mesa, CA 92627-5663 - Phone
- (949) 515-5440
- Fax
- (949) 515-5444
- NPI assigned
- Jul 27, 2006
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | IMF 38841 | CA | Primary |
Addresses
Primary practice location
2183 Fairview Rd
100
Costa Mesa, CA 92627-5663
Mailing address
325 Legion St
Laguna Beach, CA 92651-2426
Phone (949) 715-1050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101YMO800X | Other | CA | COUNSELOR |
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
| License | State | Type | Specialty |
|---|---|---|---|
| IMF 38841 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1528082765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 LEGION ST",
"city": "LAGUNA BEACH",
"state": "CA",
"postal_code": "926512426",
"telephone_number": "949-715-1050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2183 FAIRVIEW RD",
"address_2": "100",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926275663",
"telephone_number": "949-515-5440",
"fax_number": "949-515-5444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAREY",
"first_name": "SUSAN",
"middle_name": "PATRICIA",
"name_prefix": "Ms.",
"credential": "MFTI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "IMF 38841",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COUNSELOR",
"identifier": "101YMO800X",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Costa Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.