Individual provider Active NPI

Carlee Casey

  • Marriage & Family Therapist
  • Irvine, CA
National Provider Identifier
1992187728
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
130450 Issued in CA
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

Updated by the provider on Feb 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240201003212 CA Practitioner - Marriage and Family Therapist 7810340213 Reassigns benefits to 1 organization

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
Orange County Health Psychologists IncGroup PAC ID 4688990260, 59 clinicians

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

LicenseStateTypeSpecialty
130450CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orange County Health Psychologists, Inc. Single Specialty CurrentSince Jan 1, 2024 Accepting new patients
Kamala Thomas Psychological Services Corp Single Specialty CurrentSince Jan 1, 2024 Accepting new patients
Breakaway Detox Centers PastSince Apr 25, 2021 Accepting new patients
Breakaway Health Corporation Single Specialty PastSince Jun 2, 2024 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.

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

Verify at the official NPI Registry.