Individual provider Active NPI

Carolyn C Mason, M.A.

  • Marriage & Family Therapist
  • Monrovia, CA
National Provider Identifier
1528401189
Registry record updated Jun 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
IMF 71549 Issued in CA
Practice address
1045 E Huntington Dr
Unit F
Monrovia, CA 91016-3780
Phone
(805) 598-5098
NPI assigned
Apr 14, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2013

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 IMF 71549 CA Primary

Addresses

Primary practice location

1045 E Huntington Dr
Unit F
Monrovia, CA 91016-3780

Mailing address

1045 E Huntington Dr
Unit F
Monrovia, CA 91016-3780
Phone (805) 598-5098

Other identifiers 1

IdentifierTypeStateIssuer
IMF 71549OtherCACALIFORNIA BOARD OF BEHAVIORAL SCIENCES

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
IMF 71549CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1365897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370736000000",
    "number": "1528401189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 E HUNTINGTON DR",
            "address_2": "UNIT F",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910163780",
            "telephone_number": "805-598-5098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 E HUNTINGTON DR",
            "address_2": "UNIT F",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910163780",
            "telephone_number": "805-598-5098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "CAROLYN",
        "middle_name": "C",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-14",
        "last_updated": "2013-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF 71549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA BOARD OF BEHAVIORAL SCIENCES",
            "identifier": "IMF 71549",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monrovia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2013; 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.