Carolyn Marie Nelson, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

107067 Issued in CA

Practice address

8775 Sierra College Blvd Ste 200
Roseville, CA 95661-5985

Phone

(916) 531-9370

NPI assigned

Aug 8, 2018

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

State licenses

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

{
    "created_epoch": "1533686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533686400000",
    "number": "1972082105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9366 ROLLING GLEN CT",
            "city": "ORANGEVALE",
            "state": "CA",
            "postal_code": "956625632",
            "telephone_number": "916-531-9370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8775 SIERRA COLLEGE BLVD STE 200",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956615985",
            "telephone_number": "916-531-9370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "CAROLYN",
        "middle_name": "MARIE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-08",
        "last_updated": "2018-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "107067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Nekoueian
• Lisa K Nelsen, MEDICAL DOCTOR
• Tania Nelson-Chrystal, DDS, MD
• Amy Elise Nelson, ASW
• Ashanti Marie Nelson
• Darryl Jon Nelson, D.C.
• Emily Nelson, DO
• Gary Duane Nelson, P.A-C
• Sergey A. Nemolyaev, P.A.
• Keegan Jacob Garma Ness, DPT

• Marriage & Family Therapist in Roseville, CA
• Providers in Roseville, 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 Aug 8, 2018; 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.