Active NPI
Carol L Watkins, MS, LMFT
- Marriage & Family Therapist
- La Mesa, CA
National Provider Identifier
1588908321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC 37103
- Practice address
- 4508 3Rd St
La Mesa, CA 91941-5558 - Phone
- (619) 889-1238
- NPI assigned
- Nov 17, 2012
- 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 | MFC 37103 | CA | Primary |
Addresses
Primary practice location
4508 3Rd St
La Mesa, CA 91941-5558
Mailing address
4508 3Rd St
La Mesa, CA 91941-5558
Phone (619) 889-1238
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC 37103 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353110400000",
"number": "1588908321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4508 3RD ST",
"city": "LA MESA",
"state": "CA",
"postal_code": "919415558",
"telephone_number": "619-889-1238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4508 3RD ST",
"city": "LA MESA",
"state": "CA",
"postal_code": "919415558",
"telephone_number": "619-889-1238"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATKINS",
"first_name": "CAROL",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "MS, LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-11-17",
"last_updated": "2012-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC 37103",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.