Individual provider Active NPI

Caroline Spencer Hamner, MFT

  • Marriage & Family Therapist
  • Lake Forest, CA
National Provider Identifier
1538179973
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT 34564 Issued in CA
Practice address
22600 Lambert St # B
Suite 802
Lake Forest, CA 92630-6201
Phone
(949) 581-7400
Fax
(949) 770-7541
NPI assigned
Aug 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 MFT 34564 CA Primary

Addresses

Primary practice location

22600 Lambert St # B
Suite 802
Lake Forest, CA 92630-6201

Mailing address

32032 Virginia Way
Laguna Beach, CA 92651-6815
Phone (949) 581-7400

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

LicenseStateTypeSpecialty
MFT 34564CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538179973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32032 VIRGINIA WAY",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926516815",
            "telephone_number": "949-581-7400",
            "fax_number": "949-770-7541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22600 LAMBERT ST # B",
            "address_2": "SUITE 802",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926306201",
            "telephone_number": "949-581-7400",
            "fax_number": "949-770-7541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMNER",
        "first_name": "CAROLINE",
        "middle_name": "SPENCER",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT 34564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Forest, 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.

Verify at the official NPI Registry.