Active NPI
Mark Carlson
- Marriage & Family Therapist
- Huntingdon Valley, PA
National Provider Identifier
1992036875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MF000073
- Practice address
- 2910 Franks Rd
Huntingdon Valley, PA 19006-4255 - Phone
- (215) 478-1844
- Fax
- (215) 938-7607
- NPI assigned
- Jan 16, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MF000073 | PA | Primary |
Addresses
Primary practice location
2910 Franks Rd
Huntingdon Valley, PA 19006-4255
Mailing address
2910 Franks Rd
Huntingdon Valley, PA 19006-4255
Phone (215) 478-1844
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 |
|---|---|---|---|
| MF000073 | PA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Growth Opportunity Center | Past | Accepting new patients |
Organizations & group practices 1
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.
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- NPI 1649222761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263600000000",
"number": "1992036875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2910 FRANKS RD",
"city": "HUNTINGDON VALLEY",
"state": "PA",
"postal_code": "190064255",
"telephone_number": "215-478-1844",
"fax_number": "215-938-7607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2910 FRANKS RD",
"city": "HUNTINGDON VALLEY",
"state": "PA",
"postal_code": "190064255",
"telephone_number": "215-478-1844",
"fax_number": "215-938-7607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLSON",
"first_name": "MARK",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-01-16",
"last_updated": "2010-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "PA",
"license": "MF000073",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntingdon Valley, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.