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CAROLYN S. MENDOZA MA, MFT
NPI 1043556012
Marriage & Family Therapist in Huntington Beach, CA

Active since December 20, 2012Opted out of Medicare · through Feb 6, 2027
16168 BEACH BLVD STE 167, HUNTINGTON BEACH, CA 92647(714) 598-7541 Get Directions Write a Review

NPPES record last updated: December 30, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 30, 2022, Aug 12, 2020 (2 updates tracked since 2020).

About Carolyn S. Mendoza Ma, Mft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAROLYN S. MENDOZA MA, MFT (NPI 1043556012) is an individual marriage & family therapist in Huntington Beach, California, licensed in California (MFC 49013) and active in the NPI registry since December 2012. She has opted out of Medicare through February 6, 2027.

NPPES Registry Identity

NPI1043556012
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameCAROLYN S. MENDOZACredential: MA, MFT
Location Address16168 BEACH BLVD STE 167Huntington Beach, CA 92647-3838
Mailing AddressPo Box 23157Santa Ana, CA 92711-3157
Phone(714) 598-7541
Sole ProprietorYes
Enumeration DateDecember 20, 2012
Last NPPES UpdateDecember 30, 20222 updates tracked since enumeration
NPPES CertifiedDecember 30, 2022
✔ NPI 1043556012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · MFC 49013
Definition
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.
16168 BEACH BLVD STE 167, Huntington Beach, CA 92647
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Carolyn S. Mendoza Ma, Mft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 6, 2025 through February 6, 2027.

Opt-Out Effective DateFebruary 6, 2025
Opt-Out In Effect ThroughFebruary 6, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. RENEE MICHELE STOKES
Marriage & Family Therapist
16168 BEACH BLVD STE 167
HUNTINGTON BEACH, CA 92647
Orange County (831) 426-7322
RANKIN PSYCHOLOGICAL, INC.
Clinic/Center (Mental Health (Including Community Mental Health Center))
16168 BEACH BLVD STE 167
HUNTINGTON BEACH, CA 92647
Orange County (714) 343-9123

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carolyn Mendoza's NPI number?

The NPI number for Carolyn Mendoza is 1043556012. It was assigned to this individual provider in the NPPES registry on December 20, 2012.

Where is Carolyn Mendoza located?

Carolyn Mendoza practices at 16168 Beach Blvd Ste 167, Huntington Beach, CA 92647. The listed phone number is (714) 598-7541.

What is Carolyn Mendoza's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Carolyn Mendoza enrolled in Medicare?

No. Carolyn Mendoza has opted out of Medicare through February 6, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Carolyn Mendoza was last updated on December 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.