Individual provider Active NPI

Caroline Byrd Landen, LMFT

  • Marriage & Family Therapist
  • Raleigh, NC
National Provider Identifier
1972874071
Registry record updated Feb 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1475 Issued in NC
Practice address
9205 Baileywick Rd Ste 200
Raleigh, NC 27615-1977
Phone
(199) 845-5400
NPI assigned
Jan 20, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 7063A NC
Marriage & Family Therapist 106H00000X 1475 NC Primary

Addresses

Primary practice location

9205 Baileywick Rd Ste 200
Raleigh, NC 27615-1977

Mailing address

4505 Fair Meadows LN
Raleigh, NC 27607-6465
Phone (919) 845-5400

Other practice location 1

4505 Fair Meadows Ln Ste 103
Raleigh, NC 27607-6449
Phone (919) 845-5400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1475NCMDBehavioral Analyst
7063ANCMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Applied Attachment Counseling and Consulting PLLC Marriage & Family Therapist Current Accepting new patients
Loving and Living Center Marriage & Family Therapist PastSince Dec 22, 2020 Accepting new patients
Awakenings Counseling Marriage & Family Therapist PastSince Sep 5, 2023 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1327017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612483200000",
    "number": "1972874071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4505 FAIR MEADOWS LN",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076465",
            "telephone_number": "919-845-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9205 BAILEYWICK RD STE 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276151977",
            "telephone_number": "199-845-5400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4505 Fair Meadows Ln Ste 103",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276076449",
            "country_code": "US",
            "telephone_number": "919-845-5400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANDEN",
        "first_name": "CAROLINE",
        "middle_name": "BYRD",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-20",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "7063A",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "1475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.