Active NPI
Carlee Casey
- Marriage & Family Therapist
- Irvine, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 130450
- Practice address
- 15615 Alton Pkwy Ste 230
Irvine, CA 92618-7306 - Phone
- (949) 528-6300
- NPI assigned
- Jun 29, 2015
- Sex
- Female
- 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 | 130450 | CA | Primary |
Addresses
Primary practice location
15615 Alton Pkwy Ste 230
Irvine, CA 92618-7306
Mailing address
15615 Alton Pkwy Ste 230
Irvine, CA 92618-7306
Phone (949) 528-6300
Other practice location 1
3151 Airway Ave
D-1
Costa Mesa, CA 92626-4607
Phone (714) 957-8229
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15635 Alton Pkwy
Suite 350
Irvine, CA 92618-7333
Phone (949) 528-6300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 130450 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orange County Health Psychologists, Inc. | Single Specialty | Current | Accepting new patients |
| Kamala Thomas Psychological Services Corp | Single Specialty | Current | Accepting new patients |
| Breakaway Detox Centers | Past | Accepting new patients | |
| Breakaway Health Corporation | Single Specialty | Past | Accepting new patients |
Locations
15635 Alton Pkwy
Ste 350
Irvine, CA 92618
Phone (949) 528-6300
15615 Alton Pkwy
Ste 230
Irvine, CA 92618
Phone (949) 297-6808
Organizations & group practices 4
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.
-
- Clinical Psychologist
- Irvine, CA
- NPI 1174945554
Single Specialty
-
- Adult Mental Health Clinic/Center
- Irvine, CA
- NPI 1144843814
Single Specialty
-
- Substance Abuse Rehabilitation Facility
- Fountain Valley, CA
- NPI 1639751373
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Costa Mesa, CA
- NPI 1851474225
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645401600000",
"number": "1992187728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15615 ALTON PKWY STE 230",
"city": "IRVINE",
"state": "CA",
"postal_code": "926187306",
"telephone_number": "949-528-6300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15615 ALTON PKWY STE 230",
"city": "IRVINE",
"state": "CA",
"postal_code": "926187306",
"telephone_number": "949-528-6300"
}
],
"practiceLocations": [
{
"address_1": "3151 Airway Ave",
"address_2": "D-1",
"address_purpose": "LOCATION",
"city": "Costa Mesa",
"state": "CA",
"postal_code": "926264607",
"country_code": "US",
"telephone_number": "714-957-8229",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CASEY",
"first_name": "CARLEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-29",
"last_updated": "2022-02-21",
"certification_date": "2022-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "130450",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.