Mindfully Balanced

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

MINDFULLY BALANCED

Practice address

16195 Siskiyou Rd Ste 120B
Apple Valley, CA 92307-1346

Phone

(760) 523-2140

Fax

(760) 589-1454

NPI assigned

Apr 3, 2024

Organization subpart

No

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

Authorized official

Name

Sandra M Carlson, LMFTNPI 1043850852

Title

LMFT

Phone

(760) 523-2140

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sandra M Carlson, LMFT

  • Marriage & Family Therapist
  • Apple Valley, CA
  • NPI 1043850852
  NPD Authorized official

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

{
    "created_epoch": "1712102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739923200000",
    "number": "1578315537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15906 SILVER TIP WAY",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923946403",
            "telephone_number": "760-217-6437",
            "fax_number": "760-589-1454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16195 SISKIYOU RD STE 120B",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923071346",
            "telephone_number": "760-523-2140",
            "fax_number": "760-589-1454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFULLY BALANCED",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-03",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "LMFT",
        "authorized_official_telephone_number": "760-523-2140",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chrystale Miles
• Jessica Ann Millanponce
• Seana Koreen Miller
• Timothy James Miller
• Kimberly Millet
• Mindfully Balanced Mental Health and Wellness Foundation
• Minimally Invasive Therapies a Professional Corporation
• Kenneth Miranda, PPS
• Hansal Mistry, MD
• Angela Mitchell, APCC

• Marriage & Family Therapist in Apple Valley, CA
• Providers in Apple Valley, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; 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.