MS. NICOLE CARSON (NPI# 1760909493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760909493 |
| Entity Type | Individual |
| Full Name | MS. NICOLE CARSON |
| Credential | LMFT |
| Practice Address |
12821 Newport Ave Tustin CA 92780 |
| Mailing Address |
12821 Newport Ave Tustin CA 92780-2711 |
| Practice Telephone | 6573335805 |
| Mailing Telephone | 6573335805 |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2018-12-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YS0200X |
Counselor Specialization: School |
180236458 | CA | Behavioral Health & Social Service Providers |
| Y | 106H00000X | Marriage & Family Therapist | 99765 | CA | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | 98765 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 12821 Newport Ave, Tustin, CA 92780 | 6573335805 | |
| 1352 Irvine Blvd Ste 103104, Tustin, CA 927803549 | 7149103648 | |
| 2246 N State College Blvd, Fullerton, CA 928311361 | 6573335805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366981565 | Nicole Carson | Behavior Technician | 119 Brookdale Dr, Vacaville, CA 95687-6207 | 2017-02-21 |
| 1104227727 | Nicole Lyn Carson | Behavioral Analyst | 3424 Motor Ave # 101, Los Angeles, CA 90034-4710 | 2014-09-15 |
| 1306067145 | Nicole Jeanette Carson | Chiropractor | 621 W 19th St, Houston, TX 77008-3613 | 2007-05-01 |
| 1023086089 | Nicole A Carson | Physician Assistant | 4897 York Road, Buckingham, PA 18912 | 2006-03-08 |
| Street Address |
12821 NEWPORT AVE |
| City | TUSTIN |
| State | CA |
| Zip Code | 92780 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891965869 | Tetia Terez Henson | Marriage & Family Therapist | 12821 Newport Ave, Tustin, CA 92780-2711 | 2008-03-06 |
| 1477160679 | Michelle Louise Jimenez | Marriage & Family Therapist | 12821 Newport Ave, Tustin, CA 92780-2711 | 2020-09-30 |
| 1518571744 | Kenia Bustos | Marriage & Family Therapist | 12821 Newport Ave, Tustin, CA 92780-2711 | 2020-09-04 |
| 1801400486 | Brooke Catherine Mae Kerr | Marriage & Family Therapist | 12821 Newport Ave, Tustin, CA 92780-2711 | 2020-09-01 |
| 1598374118 | Breakthrough Services LLC | Marriage & Family Therapist | 12821 Newport Ave, Tustin, CA 92780 | 2020-07-29 |
| 1285257386 | Creative Healing Therapy Solutions | Community/Behavioral Health | 12821 Newport Ave, Tustin, CA 92780-2711 | 2020-05-22 |
| 1124650957 | Price Family Therapy | Clinic/Center | 12821 Newport Ave, Tustin, CA 92780-2711 | 2020-02-10 |
| 1316504871 | Monica Bhuyan | Marriage & Family Therapist | 12821 Newport Ave, Tustin, CA 92780-2711 | 2019-05-21 |
| 1780146993 | All Things Relationship Inc | Marriage & Family Therapist | 12821 Newport Ave, Tustin, CA 92780-2711 | 2019-04-05 |
| 1154882256 | Unlock Yout Joy- Marriage Family and Individual Counseling | Marriage & Family Therapist | 12821 Newport Ave, Tustin, CA 92780-2711 | 2019-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437780947 | John Michael Michael | Pharmacist | 14481 Wildeve Ln, Tustin, CA 92780 | 2020-02-03 |
| 1609426881 | Abigail Joy Maqsood | Behavior Technician | 290a S Prospect Ave, Tustin, CA 92780 | 2019-09-19 |
| 1255814711 | Hyun Dong Lee | Chiropractor | 14591 Newport Ave Ste 106, Tustin, CA 92780 | 2018-09-11 |
| 1346733573 | Elizabeth Kim Nguyen Dds Inc | Clinic/Center | 14521 Red Hill Ave, Tustin, CA 92780 | 2018-06-12 |
| 1255829503 | Hw Physical Therapy | Physical Therapist | 250 El Camino Real Ste 100, Tustin, CA 92780 | 2018-04-23 |
| 1912494352 | Gary Wayne Mcbeath | Marriage & Family Therapist | 17821 E 17th Street, Suite # 260, Tustin, CA 92780 | 2018-04-20 |
| 1104334598 | Catherine Bogues | Speech-Language Pathologist | 661 West 1st Street, Suite E, Tustin, CA 92780 | 2018-01-19 |
| 1972019941 | Lighthouse Behavioral Solutions | Behavioral Analyst | 18002 Irvine Blvd., Suite 202c, Tustin, CA 92780 | 2017-12-28 |
| 1629597299 | Lifecab, LLC | Non-emergency Medical Transport (VAN) | 13732 Newport Ave, Suite #1, Tustin, CA 92780 | 2017-09-14 |
| 1437606555 | Tustin Speech Therapy, Inc. | Speech-Language Pathologist | 661 West First Street, Suite E, Tustin, CA 92780 | 2016-09-07 |
| Find all providers in zip 92780 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750995866 | Ashley Svendsen | Marriage & Family Therapist | 242 W Main St Ste 200, Tustin, CA 92780-7723 | 2020-09-04 |
| 1073163416 | Merna Eissa | Marriage & Family Therapist | 250 W Main St Ste 101, Tustin, CA 92780-7717 | 2019-09-18 |
| 1801457049 | Lisa Carroll Bode | Marriage & Family Therapist | 440 W 1st St Ste 203, Tustin, CA 92780-3018 | 2019-06-27 |
| 1316505134 | Michelle Claire Hill | Marriage & Family Therapist | 242 W Main St Ste 104, Tustin, CA 92780-7715 | 2019-06-05 |
| 1790261980 | John Bosco Saldana Bunyi | Marriage & Family Therapist | 145 W Main St Ste 250, Tustin, CA 92780-7751 | 2018-07-11 |
| 1407341811 | Nadine Edna Tardie | Marriage & Family Therapist | 17291 Irvine Blvd Ste 425, Tustin, CA 92780-2970 | 2018-06-27 |
| 1669966404 | Samantha Seaton | Marriage & Family Therapist | 513 E 1st St Ste C, Tustin, CA 92780-3348 | 2018-06-15 |
| 1235622259 | Stephanie Sulea | Marriage & Family Therapist | 17291 Irvine Blvd Ste 203, Tustin, CA 92780-2929 | 2018-06-13 |
| 1912494352 | Gary Wayne Mcbeath | Marriage & Family Therapist | 17821 E 17th Street, Suite # 260, Tustin, CA 92780 | 2018-04-20 |
| 1225535750 | Wendy S Concepcion | Marriage & Family Therapist | 17772 Irvine Blvd Ste 101, Tustin, CA 92780-3233 | 2018-04-11 |
| Find all providers in TUSTIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.