Individual provider Active NPI

Carol Anne Bayer, MFT

  • Marriage & Family Therapist
  • Palm Desert, CA
National Provider Identifier
1578639068
Registry record updated Oct 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC29795 Issued in CA
Practice address
41865 Boardwalk
Suite 212
Palm Desert, CA 92211-9026
Phone
(760) 776-5123
Fax
(760) 837-1121
NPI assigned
Nov 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2012

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 MFC29795 CA Primary

Addresses

Primary practice location

41865 Boardwalk
Suite 212
Palm Desert, CA 92211-9026

Mailing address

41865 Boardwalk
Suite 212
Palm Desert, CA 92211-9026
Phone (760) 776-5123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
29795CAMDClinical Social Worker
MFC29795CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349913600000",
    "number": "1578639068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41865 BOARDWALK",
            "address_2": "SUITE 212",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922119026",
            "telephone_number": "760-776-5123",
            "fax_number": "760-837-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41865 BOARDWALK",
            "address_2": "SUITE 212",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922119026",
            "telephone_number": "760-776-5123",
            "fax_number": "760-837-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYER",
        "first_name": "CAROL",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-27",
        "last_updated": "2012-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC29795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

Verify at the official NPI Registry.