Active NPI
Carolyn Hudson, M.A., LMFT
- Marriage & Family Therapist
- Fullerton, CA
National Provider Identifier
1760737795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 51849
- Practice address
- 1370 Brea Blvd Ste 203
Fullerton, CA 92835-4128 - Phone
- (714) 292-0265
- NPI assigned
- Jul 16, 2012
- 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 | 51849 | CA | Primary |
Addresses
Primary practice location
1370 Brea Blvd Ste 203
Fullerton, CA 92835-4128
Mailing address
1370 Brea Blvd Ste 203
Fullerton, CA 92835-4128
Phone (714) 292-0265
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255582854 | Other | CA | NPPES |
Other names 1
- Miss Carolyn Bernal
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 31, 2024 through Jan 31, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746921600000",
"number": "1760737795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1370 BREA BLVD STE 203",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928354128",
"telephone_number": "714-292-0265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1370 BREA BLVD STE 203",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928354128",
"telephone_number": "714-292-0265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUDSON",
"first_name": "CAROLYN",
"name_prefix": "Mrs.",
"credential": "M.A., LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-16",
"last_updated": "2025-05-11",
"certification_date": "2025-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "51849",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPPES",
"identifier": "1255582854",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CAROLYN",
"last_name": "BERNAL",
"prefix": "MISS",
"credential": "M.A.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.