Individual provider Active NPI

Carly Christine Ramirez Hardge, LMFT

  • Marriage & Family Therapist
  • Chula Vista, CA
National Provider Identifier
1730556093
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT139325 Issued in CA
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2023

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 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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMFT139325CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
McAlister Institute for Treatment & Education, Inc. Addiction (Substance Use Disorder) CurrentSince Jun 4, 2023 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.

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

Verify at the official NPI Registry.