Active NPI
Nicole Carlson
- Marriage & Family Therapist
- Hemet, CA
National Provider Identifier
1710713136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 159154
- Practice address
- 1105 E Florida Ave
Hemet, CA 92543-4512 - Phone
- (951) 439-2939
- NPI assigned
- Sep 11, 2024
- Last updated
- Jan 21, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 159154 | CA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
1105 E Florida Ave
Hemet, CA 92543-4512
Mailing address
1675 N Deodar Dr
Beaumont, CA 92223-8580
Other practice location 1
464 S Palm Ave
Hemet, CA 92543-4808
Phone (951) 247-6542
Other practice location 2
71175 Aurora Rd
Desert Hot Springs, CA 92241-7631
Phone (760) 251-8858
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 |
|---|---|---|---|
| 159154 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kathryn Gonzales | Current | Accepting new patients | |
| Father's Heart- a Ranch for Children Inc | Past | Accepting new patients |
Locations
71175 Aurora Rd
Desert Hot Springs, CA 92241
Phone (760) 251-8858
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.
-
- Social Worker
- Thousand Oaks, CA
- NPI 1497647309
-
- Community/Behavioral Health Agency
- Desert Hot Springs, CA
- NPI 1871004341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768953600000",
"number": "1710713136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1675 N DEODAR DR",
"city": "BEAUMONT",
"state": "CA",
"postal_code": "922238580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1105 E FLORIDA AVE",
"city": "HEMET",
"state": "CA",
"postal_code": "925434512",
"telephone_number": "951-439-2939"
}
],
"practiceLocations": [
{
"address_1": "464 S Palm Ave",
"address_purpose": "LOCATION",
"city": "Hemet",
"state": "CA",
"postal_code": "925434808",
"country_code": "US",
"telephone_number": "951-247-6542",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "71175 Aurora Rd",
"address_purpose": "LOCATION",
"city": "Desert Hot Springs",
"state": "CA",
"postal_code": "922417631",
"country_code": "US",
"telephone_number": "760-251-8858",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARLSON",
"first_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-11",
"last_updated": "2026-01-21",
"certification_date": "2026-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "159154",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hemet, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.