Carrissa Jean Angelique Duncan, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

134847 Issued in CA

Practice address

1430 Blue Oaks Blvd Ste 120
Roseville, CA 95747-5156

Phone

(916) 940-6136

NPI assigned

May 21, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1526860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1679064091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 BLUE OAKS BLVD STE 120",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957475156",
            "telephone_number": "916-940-6136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 BLUE OAKS BLVD STE 120",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957475156",
            "telephone_number": "916-940-6136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNCAN",
        "first_name": "CARRISSA",
        "middle_name": "JEAN ANGELIQUE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-21",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "134847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gurjeet S. Duhra, MD
• David L. Duke, DDS
• Nicholas Duke
• Campbell Dukovich, M.S.
• Kevin Dumitru, MPT
• Noble A Duncan
• Kathryn Judson Dungan, MS
• Kenneth Lee Dunham III, LPCC
• Steven D. Dunlap, MD
• Dana Charles Dunlavey, M.D

• Marriage & Family Therapist in Roseville, CA
• Providers in Roseville, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.