Individual provider Active NPI

Carl Ernest Combs

  • Marriage & Family Therapist
  • Monte Rio, CA
National Provider Identifier
1528225786
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC7604 Issued in CA
Practice address
19375 Highway 116
Monte Rio, CA 95463-0519
Phone
(707) 865-1200
NPI assigned
May 16, 2008
Last updated
Jun 20, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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 MFC7604 CA Primary

Addresses

Primary practice location

19375 Highway 116
Monte Rio, CA 95463-0519

Mailing address

PO Box 519
Monte Rio, CA 95462-0519
Phone (707) 865-1200

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240112002303 CA Practitioner - Marriage and Family Therapist 9032560180 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Redwood Psychology Center IncGroup PAC ID 2062880487, 4 clinicians

Practice addresses (Care Compare)

19375 Hwy 116
Monte Rio, CA 95462-9716
Phone (707) 865-1200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFC7604CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Redwood Psychology Center, Inc CurrentSince Jan 1, 2024 Accepting new patients
Redwood Psychology Center, Inc. PastSince Jan 1, 2024 Accepting new patients

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": "1210896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529452800000",
    "number": "1528225786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 519",
            "city": "MONTE RIO",
            "state": "CA",
            "postal_code": "954620519",
            "telephone_number": "707-865-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19375 HIGHWAY 116",
            "city": "MONTE RIO",
            "state": "CA",
            "postal_code": "954630519",
            "telephone_number": "707-865-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMBS",
        "first_name": "CARL",
        "middle_name": "ERNEST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-16",
        "last_updated": "2018-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC7604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monte Rio, CA

Sources for this page

Verify at the official NPI Registry.