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REA CARROLL
NPI 1255790754
Marriage & Family Therapist in San Andreas, CA

Active since February 12, 2016
564 MOUNTAIN RANCH RD # 5, SAN ANDREAS, CA 95249(209) 498-2227(209) 498-2042 Get Directions Write a Review

NPPES record last updated: October 6, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 6, 2021, Feb 9, 2021, Feb 12, 2016 (3 updates tracked since 2016).

About Rea Carroll NPPES

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

REA CARROLL (NPI 1255790754) is an individual marriage & family therapist in San Andreas, California, licensed in California (LMFT115445) and active in the NPI registry since February 2016.

NPPES Registry Identity

NPI1255790754
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameREA CARROLL
Location Address564 MOUNTAIN RANCH RD # 5San Andreas, CA 95249-9782
Mailing Address564 Mountain Ranch Rd # 5San Andreas, CA 95249-9782 · (209) 498-2227 · Fax (209) 498-2042
Phone(209) 498-2227
Fax(209) 498-2042
Sole ProprietorYes
Enumeration DateFebruary 12, 2016
Last NPPES UpdateOctober 6, 20213 updates tracked since enumeration
NPPES CertifiedOctober 6, 2021
✔ NPI 1255790754 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 · LMFT115445
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.
564 MOUNTAIN RANCH RD # 5, San Andreas, CA 95249
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Other Providers at the Same Location NPPES 3

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

CARLA R O'DELL
Case Manager/Care Coordinator
564 MOUNTAIN RANCH RD # 5
SAN ANDREAS, CA 95249
Calaveras County (209) 498-2227
CHRISTINE JAN KHAN
Social Worker (Clinical)
564 MOUNTAIN RANCH RD # 5
SAN ANDREAS, CA 95249
Calaveras County (209) 498-2227
HALEY RUSTH
Rehabilitation Practitioner
564 MOUNTAIN RANCH RD # 5
SAN ANDREAS, CA 95249
Calaveras County (209) 498-2227

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 Rea Carroll's NPI number?

The NPI number for Rea Carroll is 1255790754. It was assigned to this individual provider in the NPPES registry on February 12, 2016.

Where is Rea Carroll located?

Rea Carroll practices at 564 Mountain Ranch Rd # 5, San Andreas, CA 95249. The listed phone number is (209) 498-2227.

What is Rea Carroll's specialty?

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

When was this NPI record last updated?

The NPPES record for Rea Carroll was last updated on October 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.