Amber Marie Carra, LMFT117061

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

117061 Issued in CA

Practice address

45562 Stanridge Ave
Lancaster, CA 93535-1820

Phone

(661) 434-1943

NPI assigned

Apr 15, 2011

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Support 4 Heroes LLC

  • Marriage & Family Therapist
  • Lancaster, CA
  • NPI 1316514821
  NPD Authorized official

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

{
    "created_epoch": "1302825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622764800000",
    "number": "1972893584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45562 STANRIDGE AVE",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935351820",
            "telephone_number": "661-429-6553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45562 STANRIDGE AVE",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935351820",
            "telephone_number": "661-434-1943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRA",
        "first_name": "AMBER",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "LMFT117061",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-15",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "117061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH NUMBER",
            "identifier": "15066191",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info@4supportheroes.com",
            "affiliation": "N",
            "endpointDescription": "This is directly to my website through specific email that is hipaa compliant",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "45562 Stanridge Ave",
            "city": "Lancaster",
            "state": "CA",
            "country_code": "US",
            "postal_code": "935351820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Thomas Grant Carlton, M.D.
• Carmel I. Ernest, M.D., Inc.
• Monica Carmona
• Henry Jay Carpenter, DPO
• Jacob Carpenter, FNP-C
• Cindy Carrasco
• Oscar Alberto Carrasco
• Isela Carreno
• Jose Jr Carreon-Bennett
• Alyssa Daniella Carrera Saldivar

• Marriage & Family Therapist in Lancaster, CA
• Providers in Lancaster, 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 Jun 4, 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.

Verify at the official NPI Registry.