Active NPI
Carly Christine Ramirez Hardge, LMFT
- Marriage & Family Therapist
- Chula Vista, CA
National Provider Identifier
1730556093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT139325
- Practice address
- 371 E St
Chula Vista, CA 91910-2615 - Phone
- (161) 969-1104
- Fax
- (619) 691-1491
- NPI assigned
- Aug 21, 2015
- Last updated
- May 31, 2023
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LMFT139325 | CA | Primary |
Addresses
Primary practice location
371 E St
Chula Vista, CA 91910-2615
Mailing address
629 3Rd Ave
Suite C
Chula Vista, CA 91910-5740
Phone (619) 691-1045
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT139325 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McAlister Institute for Treatment & Education, Inc. | Addiction (Substance Use Disorder) | Current | Accepting new patients |
Locations
371 E St
Chula Vista, CA 91910
629 Third Ave
Ste C
Chula Vista, CA 91910
Phone (619) 691-1065
Organizations & group practices 1
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.
-
dba South Teen Recovery Center
- Substance Use Disorder Rehabilitation Clinic/Center
- Chula Vista, CA
- NPI 1588912182
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685491200000",
"number": "1730556093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "629 3RD AVE",
"address_2": "SUITE C",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919105740",
"telephone_number": "619-691-1045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "371 E ST",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919102615",
"telephone_number": "161-969-1104",
"fax_number": "619-691-1491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDGE",
"first_name": "CARLY",
"middle_name": "CHRISTINE RAMIREZ",
"name_prefix": "Dr.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-21",
"last_updated": "2023-05-31",
"certification_date": "2023-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT139325",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.