MS. CAROL SUSAN CARR MFT
NPI 1053422832
Marriage & Family Therapist in San Diego, CA

Q: What is Carol Carr's NPI number?

The NPI number for Carol Carr is 1053422832. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Q: What is Carol Carr's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Carol Carr was last updated on February 24, 2023. 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.

Active since August 31, 2006PECOS Enrolled

16870 W BERNARDO DR STE 400, SAN DIEGO, CA 92127(858) 646-9626 Get Directions Write a Review

NPPES record last updated: February 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ms. Carol Susan Carr Mft NPPES

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

MS. CAROL SUSAN CARR MFT (NPI 1053422832) is an individual marriage & family therapist in San Diego, California, licensed in California (MFC28317) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1989).

NPPES Registry Identity

NPI1053422832

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMS. CAROL SUSAN CARRCredential: MFT

Location Address16870 W BERNARDO DR STE 400San Diego, CA 92127-1678

Mailing AddressPo Box 27972San Diego, CA 92198-1972 · (858) 646-9626

Phone(858) 646-9626

Sole ProprietorYes

Medical School CMSOtherGraduated 1989

Enumeration DateAugust 31, 2006

Last NPPES UpdateFebruary 24, 2023

NPPES CertifiedFebruary 24, 2023

✔ NPI 1053422832 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 · MFC28317

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.

16870 W BERNARDO DR STE 400, San Diego, CA 92127

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Carol Susan Carr Mft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3870943822

PECOS Enrollment IDI20240103001870

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 14

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

DR. RADMILA M WEST PH.D.

Psychologist (Clinical)