DONNA CAROLLO MFT
NPI 1114320603
Marriage & Family Therapist in San Clemente, CA

Q: What is Donna Carollo's NPI number?

The NPI number for Donna Carollo is 1114320603. It was assigned to this individual provider in the NPPES registry on September 29, 2014.

Q: What is Donna Carollo'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 Donna Carollo was last updated on September 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 September 29, 2014PECOS EnrolledAccepts Medicare Assignment

657 CAMINO DE LOS MARES STE 241, SAN CLEMENTE, CA 92673(949) 547-2957 Get Directions Write a Review

NPPES record last updated: September 29, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Donna Carollo Mft NPPES

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

DONNA CAROLLO MFT (NPI 1114320603) is an individual marriage & family therapist in San Clemente, California, licensed in California (MFC80214) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS and is a graduate of Other (1979).

NPPES Registry Identity

NPI1114320603

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameDONNA CAROLLOCredential: MFT

Location Address657 CAMINO DE LOS MARES STE 241San Clemente, CA 92673-2811

Mailing Address657 Camino De Los Mares Ste 241San Clemente, CA 92673-2811 · (949) 547-2957

Phone(949) 547-2957

Sole ProprietorYes

Medical School CMSOtherGraduated 1979

Enumeration DateSeptember 29, 2014

✔ NPI 1114320603 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 · MFC80214

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.

657 CAMINO DE LOS MARES STE 241, San Clemente, CA 92673

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Donna Carollo Mft is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1557899903

PECOS Enrollment IDI20250113001845

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

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

MARY BARRON HARLEY

Marriage & Family Therapist

657 CAMINO DE LOS MARES STE 241
SAN CLEMENTE, CA 92673

Orange County (949) 394-5494

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 Donna Carollo's NPI number?

The NPI number for Donna Carollo is 1114320603. It was assigned to this individual provider in the NPPES registry on September 29, 2014.

Where is Donna Carollo located?

Donna Carollo practices at 657 Camino De Los Mares Ste 241, San Clemente, CA 92673. The listed phone number is (949) 547-2957.

What is Donna Carollo's specialty?

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

Is Donna Carollo enrolled in Medicare?

Yes. Donna Carollo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Donna Carollo was last updated on September 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.