Individual provider Active NPI

Carolyn Risbrudt, MA

  • Marriage & Family Therapist
  • Atascadero, CA
National Provider Identifier
1609496298
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
135058 Issued in CA
Practice address
5855 Capistrano Ave Ste G
Atascadero, CA 93422-7201
Phone
(805) 464-7179
NPI assigned
Apr 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

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 135058 CA Primary

Addresses

Primary practice location

5855 Capistrano Ave Ste G
Atascadero, CA 93422-7201

Mailing address

4855 Sycamore Rd
Atascadero, CA 93422-4313
Phone (805) 464-7179

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 Arts

State licenses

LicenseStateTypeSpecialty
135058CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
New Perspective Marriage and Family Therapy, Inc. CurrentSince Nov 24, 2024 Accepting new patients

Locations

7343 El Camino Real
Atascadero, CA 93422
Phone (954) 540-1840

5855 Capistrano Ave
Ste G
Atascadero, CA 93422
Phone (805) 464-7179

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1587600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1609496298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4855 SYCAMORE RD",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934224313",
            "telephone_number": "805-464-7179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5855 CAPISTRANO AVE STE G",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934227201",
            "telephone_number": "805-464-7179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISBRUDT",
        "first_name": "CAROLYN",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-23",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "135058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atascadero, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.