Deborah Sue Carolan
Individual provider Active NPI Mental Health Counselor · Lemoore, CA
NPI 1659390953 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1659390953
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- MY013166 (CA)
- Practice address
- 130 E Hanford Armona Rd
Suite E
Lemoore, CA 93245-2139 - Phone
- (559) 924-1504
- Fax
- (559) 924-1504
- NPI assigned
- Jul 18, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Marriage and Family Therapist
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1502 Erin Way
Hanford, CA 93230-3256
18767 King Ave
Stratford, CA 93266-9752
Phone (559) 924-1504
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251202000843 | CA | Practitioner - Marriage and Family Therapist | 9133612807 | Practice locations: Stratford, CA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MY013166 | CA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deborah S. Carolan MFT & Associates | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MY013166 | CA | Yes |
Addresses
Primary practice location
130 E Hanford Armona Rd
Suite E
Lemoore, CA 93245-2139
Mailing address
130 E Hanford Armona Rd
Suite E
Lemoore, CA 93245-2139
Phone (559) 924-1504
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ86155Z | Other | CA | BLUE SHIELD |
Other providers in Lemoore, CA
- Pamela Brosius
- Riley Brubaker
- Thomas Edwin Buford
- Oscar Campos
- Camren H Canseco
- Isaac Carrillo
- Josie Carroway
- Vanesa Carson
- Sandra Case-Jorgenson
- Kyle Andrew Casey
All providers in Lemoore, CA · Mental Health Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.