Individual provider Active NPI

Alysse Caraballo, MA, LMFT, BCN

  • Marriage & Family Therapist
  • Santa Clara, CA
National Provider Identifier
1699341719
Registry record updated Dec 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
145520 Issued in CA
Practice address
2797 Park Ave Ste 202
Santa Clara, CA 95050-6064
Phone
(408) 412-1836
NPI assigned
May 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2025

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 145520 CA Primary

Addresses

Primary practice location

2797 Park Ave Ste 202
Santa Clara, CA 95050-6064

Mailing address

2797 Park Ave Ste 202
Santa Clara, CA 95050-6064
Phone (408) 412-1836

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 14, 2025 through Jul 14, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
145520CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Child & Family Counseling Group Marriage & Family Therapist PastSince Jul 3, 2022 Accepting new patients
Cura Family Therapy, Inc. PastSince Mar 19, 2023 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1622332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766880000000",
    "number": "1699341719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2797 PARK AVE STE 202",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950506064",
            "telephone_number": "408-412-1836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2797 PARK AVE STE 202",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950506064",
            "telephone_number": "408-412-1836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARABALLO",
        "first_name": "ALYSSE",
        "credential": "MA, LMFT, BCN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-30",
        "last_updated": "2025-12-28",
        "certification_date": "2025-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "145520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clara, CA

Sources for this page

Verify at the official NPI Registry.