Active NPI
Carrie Philpott, MA, MFT
- Marriage & Family Therapist
- San Carlos, CA
National Provider Identifier
1578983755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 39710
- Practice address
- 961 Laurel St
Suite 202
San Carlos, CA 94070-3949 - Phone
- (650) 575-3351
- NPI assigned
- Apr 25, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 39710 | CA | Primary |
Addresses
Primary practice location
961 Laurel St
Suite 202
San Carlos, CA 94070-3949
Mailing address
PO Box 610027
Redwood City, CA 94061-0027
Phone (650) 575-3351
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 29, 2025 through Jan 29, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39710 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398384000000",
"number": "1578983755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 610027",
"city": "REDWOOD CITY",
"state": "CA",
"postal_code": "940610027",
"telephone_number": "650-575-3351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "961 LAUREL ST",
"address_2": "SUITE 202",
"city": "SAN CARLOS",
"state": "CA",
"postal_code": "940703949",
"telephone_number": "650-575-3351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILPOTT",
"first_name": "CARRIE",
"credential": "MA, MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-25",
"last_updated": "2014-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "39710",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Carlos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.