Active NPI
Michelle Amber Caraballo, LMFT
- Marriage & Family Therapist
- La Mesa, CA
National Provider Identifier
1669903639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 148549
- Practice address
- 8881 Fletcher Pkwy Ste 350&360
La Mesa, CA 91942-3134 - Phone
- (858) 279-1223
- NPI assigned
- Mar 22, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | CA | ||
| Marriage & Family Therapist | 106H00000X | 107187 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Marriage & Family Therapist | 106H00000X | 148549 | CA | Primary |
Addresses
Primary practice location
8881 Fletcher Pkwy Ste 350&360
La Mesa, CA 91942-3134
Mailing address
8881 Fletcher Pkwy Ste 350&360
La Mesa, CA 91942-3134
Other practice location 1
286 Euclid Ave
#102
San Diego, CA 92114-3610
Phone (619) 266-2111 ext. 113
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 107187 | CA | MD | Marriage & Family Therapist |
| 148549 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738195200000",
"number": "1669903639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8881 FLETCHER PKWY STE 350&360",
"city": "LA MESA",
"state": "CA",
"postal_code": "919423134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8881 FLETCHER PKWY STE 350&360",
"city": "LA MESA",
"state": "CA",
"postal_code": "919423134",
"telephone_number": "858-279-1223"
}
],
"practiceLocations": [
{
"address_1": "286 Euclid Ave",
"address_2": "#102",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921143610",
"country_code": "US",
"telephone_number": "619-266-2111 x113",
"fax_number": "619-266-0496",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARABALLO",
"first_name": "MICHELLE",
"middle_name": "AMBER",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-22",
"last_updated": "2025-01-30",
"certification_date": "2025-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "107187",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "148549",
"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 Jan 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.