Active NPI
Carmen Carl
- Professional Counselor
- Elk Grove, CA
National Provider Identifier
1881059145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPCC17218
- Practice address
- 9146 E Stockton Blvd Ste 1135
Elk Grove, CA 95624-9510 - Phone
- (209) 730-6425
- NPI assigned
- Dec 30, 2015
- Last updated
- Jan 7, 2025
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPCC17218 | CA | Primary |
Addresses
Primary practice location
9146 E Stockton Blvd Ste 1135
Elk Grove, CA 95624-9510
Mailing address
PO Box 401
Wilton, CA 95693-0401
Phone (916) 416-5019
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPCC17218 | CA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brave Little Hooves Licensed Professional Clinical Counselor | Current | Accepting new patients |
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.
-
- Mental Health Counselor
- Wilton, CA
- NPI 1427927409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736208000000",
"number": "1881059145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 401",
"city": "WILTON",
"state": "CA",
"postal_code": "956930401",
"telephone_number": "916-416-5019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9146 E STOCKTON BLVD STE 1135",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "956249510",
"telephone_number": "209-730-6425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARL",
"first_name": "CARMEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-30",
"last_updated": "2025-01-07",
"certification_date": "2025-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "LPCC17218",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elk Grove, CA
- Caremeridian, LLC (Neurorestorative)
- Stephanie Carillo, RD
- Caring Families, Inc.
- Caring Families, Inc.
- Caring Families, Inc.
- Linda E Carlos, MFT
- Michael Robert Carlson
- M Jennifer Carmichael, MPA, PA-C
- Caroline Bentley Family Therapist, Inc (SagePoint Intensive Outpatient Program)
- Caroline Bentley Family Therapist, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.