Active NPI
Tammy Lynn Carter, M.A.
- Marriage & Family Therapist
- El Cajon, CA
National Provider Identifier
1770093577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 117201
- Practice address
- 771 Jamacha Road, #243
El Cajon, CA 92019 - Phone
- (619) 396-0367
- Fax
- (760) 919-3132
- NPI assigned
- Oct 5, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | IMF954436 | CA | |
| Marriage & Family Therapist | 106H00000X | 117201 | CA | Primary |
Addresses
Primary practice location
771 Jamacha Road, #243
El Cajon, CA 92019
Mailing address
771 Jamacha Rd # 243
El Cajon, CA 92019
Phone (619) 396-0367
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
4700 Spring St
Suite 204
La Mesa, CA 91942-0273
Phone (619) 396-0367
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMF954436 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TLC Cornerstone, Inc. | Marriage & Family Therapist | Current | Accepting new patients |
| TLC Cornerstone, Inc. | Current | Accepting new patients |
Locations
771 Jamacha Rd
El Cajon, CA 92019
Phone (619) 272-4222
4700 Spring St
Ste 204
La Mesa, CA 91942
Phone (619) 307-1684
Organizations & group practices 2
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.
-
- Mental Health Counselor
- El Cajon, CA
- NPI 1043894157
-
- Marriage & Family Therapist
- El Cajon, CA
- NPI 1447913009
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634688000000",
"number": "1770093577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "771 JAMACHA RD # 243",
"city": "EL CAJON",
"state": "CA",
"postal_code": "92019",
"telephone_number": "619-396-0367",
"fax_number": "760-919-3132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "771 JAMACHA ROAD, #243",
"city": "EL CAJON",
"state": "CA",
"postal_code": "92019",
"telephone_number": "619-396-0367",
"fax_number": "760-919-3132"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "TAMMY",
"middle_name": "LYNN",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-05",
"last_updated": "2021-10-20",
"certification_date": "2021-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "IMF954436",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "117201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Cajon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.