Individual provider Active NPI

Carrie F. Anderson, M.S.

  • Marriage & Family Therapist
  • Oakland, CA
National Provider Identifier
1720265671
Registry record updated Jan 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 50219 Issued in CA
Practice address
3798 Grand Ave Ste 2
Oakland, CA 94610-1527
Phone
(510) 395-5218
NPI assigned
Jan 23, 2008
Last updated
Jan 15, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2020

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 MFC 50219 CA Primary

Addresses

Primary practice location

3798 Grand Ave Ste 2
Oakland, CA 94610-1527

Mailing address

PO Box 1573
Alameda, CA 94501-0172
Phone (510) 395-5218

Other practice location 1

1816 Scenic Ave
Berkeley, CA 94709-1324
Phone (510) 458-2657

Other practice location 2

80 Eureka Sq Ste 211
Pacifica, CA 94044-2603
Phone (510) 395-5218

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
MFC 50219CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579046400000",
    "number": "1720265671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1573",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945010172",
            "telephone_number": "510-395-5218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3798 GRAND AVE STE 2",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946101527",
            "telephone_number": "510-395-5218"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1816 Scenic Ave",
            "address_purpose": "LOCATION",
            "city": "Berkeley",
            "state": "CA",
            "postal_code": "947091324",
            "country_code": "US",
            "telephone_number": "510-458-2657",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "80 Eureka Sq Ste 211",
            "address_purpose": "LOCATION",
            "city": "Pacifica",
            "state": "CA",
            "postal_code": "940442603",
            "country_code": "US",
            "telephone_number": "510-395-5218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "CARRIE",
        "middle_name": "F.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-23",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 50219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; 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.