Active NPI
Carol Sue Robinson
- Marriage & Family Therapist
- Lake Elsinore, CA
National Provider Identifier
1942321377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT112348
- Practice address
- 1400 W Minthorn St
Lake Elsinore, CA 92530-2808 - Phone
- (951) 245-3201
- Fax
- (951) 245-3008
- NPI assigned
- Apr 3, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LMFT112348 | CA | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | IMF74634 | CA |
Addresses
Primary practice location
1400 W Minthorn St
Lake Elsinore, CA 92530-2808
Mailing address
1400 W Minthorn St
Lake Elsinore, CA 92530-2808
Phone (951) 245-3201
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 |
|---|---|---|---|
| IMF74634 | CA | MD | Mental Health Counselor |
| LMFT112348 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620345600000",
"number": "1942321377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 W MINTHORN ST",
"city": "LAKE ELSINORE",
"state": "CA",
"postal_code": "925302808",
"telephone_number": "951-245-3201",
"fax_number": "951-245-3008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 W MINTHORN ST",
"city": "LAKE ELSINORE",
"state": "CA",
"postal_code": "925302808",
"telephone_number": "951-245-3201",
"fax_number": "951-245-3008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "CAROL",
"middle_name": "SUE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-03",
"last_updated": "2021-05-07",
"certification_date": "2021-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT112348",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "IMF74634",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Elsinore, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.