Active NPI
Carol Caddes, MFT
- Mental Health Counselor
- Newport Beach, CA
National Provider Identifier
1578987046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MFC 34375
- Practice address
- 833 Dover Dr Ste 28
Newport Beach, CA 92663-6945 - Phone
- (949) 574-4140
- NPI assigned
- Feb 4, 2014
- Last updated
- Feb 4, 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MFC 34375 | CA | Primary |
Addresses
Primary practice location
833 Dover Dr Ste 28
Newport Beach, CA 92663-6945
Mailing address
833 Dover Dr Ste 28
Newport Beach, CA 92663-6945
Phone (949) 574-4140
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
| License | State | Type | Specialty |
|---|---|---|---|
| MFC 34375 | CA | MD | Mental Health Counselor |
| 34375 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391472000000",
"number": "1578987046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "833 DOVER DR STE 28",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926636945",
"telephone_number": "949-574-4140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "833 DOVER DR STE 28",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926636945",
"telephone_number": "949-574-4140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CADDES",
"first_name": "CAROL",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-02-04",
"last_updated": "2014-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "MFC 34375",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.