Kelli Carson

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

555 E Ocean Blvd Ste 638
Long Beach, CA 90802-5077

Phone

(916) 412-5679

NPI assigned

Jan 5, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Windows of Hope Counseling Center Inc.

  • Clinic/Center
  • Long Beach, CA
  • NPI 1538771001
  NPD

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

{
    "created_epoch": "1672876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1760195663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17062 GREEN LN APT 58",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926494492",
            "telephone_number": "530-306-1263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 E OCEAN BLVD STE 638",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908025077",
            "telephone_number": "916-412-5679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARSON",
        "first_name": "KELLI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-05",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taneka Carroll
• Brenda Carruth, RPT
• Gail N Carruthers, MD
• Carson McBeath & Boswell Inc.
• Carson Pharmacy Inc.
• Roseanne E Carson, M.S.W
• Carsten S. Ronlov, M.D. Inc.
• Patricia D. Carter-Phillips, D.C.
• Alexis Elisa Carter
• Autumn Christine Carter

• Mental Health Counselor in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; 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.