Carly Wielstein, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

117141 Issued in CA

Practice address

13701 Riverside Dr Ste 409
Sherman Oaks, CA 91423-2448

Phone

(916) 524-4246

NPI assigned

Jan 2, 2020

Last updated

Jan 2, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1577923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577923200000",
    "number": "1932748308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13701 RIVERSIDE DR STE 409",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914232448",
            "telephone_number": "916-524-4246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13701 RIVERSIDE DR STE 409",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914232448",
            "telephone_number": "916-524-4246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIELSTEIN",
        "first_name": "CARLY",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-02",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "117141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vincent William White, O.D.
• Jessica Lauren Whitehead, LMFT
• Candice D Whitely, NP
• Whole Person Healing Therapy, a Marriage, Family & Individuals Counseling Corporation
• Charisse Co Wico
• Mark Wienberg, D.D.S.
• Patricklyra Awen Wilder, LMFT
• Susan Willett
• Audrey Clark Williams, MPT
• Catherine Rebecca Williams, LICENSED MIDWIFE

• Marriage & Family Therapist in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2020; 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.