Active NPI
Christa Carlson, L.V.N.
- Mental Health Counselor
- Placentia, CA
National Provider Identifier
1699988469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- VN222906
- Practice address
- 1707 Hamer Drive
Placentia, CA 92870 - Phone
- (714) 783-8795
- NPI assigned
- May 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | VN222906 | CA | Primary |
Addresses
Primary practice location
1707 Hamer Drive
Placentia, CA 92870
Mailing address
1707 Hamer Drive
Placentia, CA 92870
Phone (714) 783-8795
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| VN222906 | Other | CA | LVN LICENSE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| VN222906 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256688000000",
"number": "1699988469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1707 HAMER DRIVE",
"city": "PLACENTIA",
"state": "CA",
"postal_code": "92870",
"telephone_number": "714-783-8795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1707 HAMER DRIVE",
"city": "PLACENTIA",
"state": "CA",
"postal_code": "92870",
"telephone_number": "714-783-8795"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLSON",
"first_name": "CHRISTA",
"credential": "L.V.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-08",
"last_updated": "2009-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "VN222906",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LVN LICENSE",
"identifier": "VN222906",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Placentia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.