Active NPI
Carmen Jo Hardt, RN, LMFT
- Marriage & Family Therapist
- Benicia, CA
National Provider Identifier
1588016836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 84687
- Practice address
- 1350 Hayes St
Suite B9
Benicia, CA 94510-2945 - Phone
- (925) 286-2219
- Fax
- (925) 288-1587
- NPI assigned
- Jul 11, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 84687 | CA | Primary |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 365484 | CA |
Addresses
Primary practice location
1350 Hayes St
Suite B9
Benicia, CA 94510-2945
Mailing address
388 Pantano Cir
Pacheco, CA 94553-5632
Phone (925) 286-2219
Other names 1
- Ms. Carmyn Jo Coy Hardt
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 84687 | CA | MD | Marriage & Family Therapist |
| 365484 | CA | MD | Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468195200000",
"number": "1588016836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "388 PANTANO CIR",
"city": "PACHECO",
"state": "CA",
"postal_code": "945535632",
"telephone_number": "925-286-2219",
"fax_number": "925-288-1587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 HAYES ST",
"address_2": "SUITE B9",
"city": "BENICIA",
"state": "CA",
"postal_code": "945102945",
"telephone_number": "925-286-2219",
"fax_number": "925-288-1587"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDT",
"first_name": "CARMEN",
"middle_name": "JO",
"name_prefix": "Ms.",
"credential": "RN, LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-11",
"last_updated": "2016-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "84687",
"primary": true
},
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "CA",
"license": "365484",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CARMYN",
"last_name": "HARDT",
"middle_name": "JO COY",
"prefix": "MS.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Benicia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.