Eric B Carlson, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT96974 Issued in CA

Practice address

4551 Glencoe Ave Ste 255
Marina del Rey, CA 90292-7924

Phone

(310) 572-7000

Fax

(310) 943-2293

NPI assigned

Aug 24, 2015

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• DW Management Enterprises Inc.

  • Community/Behavioral Health Agency
  • Marina del Rey, CA
  • NPI 1588793160
  NPD
• Lat Intensive Outpatient Programs Inc

  • Community/Behavioral Health Agency
  • Marina del Rey, CA
  • NPI 1306265954
  NPD

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

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596067200000",
    "number": "1962879122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4551 GLENCOE AVE STE 255",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902927924",
            "telephone_number": "310-572-7000",
            "fax_number": "310-943-2293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4551 GLENCOE AVE STE 255",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902927924",
            "telephone_number": "310-572-7000",
            "fax_number": "310-943-2293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "ERIC",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-24",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF79358",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT96974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caring Like Family Inc
• Caring Like Family Incorporated
• Carlo Medina Medical Corporation
• Carlos Garcia MD Inc
• Carlos Rodriguez Chiropractic, Inc.
• Janice Carter, M.D. M.P.H. F.A.A.P.
• Bailey Elizabeth Carver, LCSW
• Castoria Seymore, Jr. MD a Professional Corperation
• Stephanie Castro Barbosa
• Cheryl Catalan

• All providers in Marina del Rey, CA
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.