MONEISA CARSON
NPI 1497200372
Marriage & Family Therapist in Fremont, CA

Q: What is Moneisa Carson's NPI number?

The NPI number for Moneisa Carson is 1497200372. It was assigned to this individual provider in the NPPES registry on August 20, 2016.

Q: What is Moneisa Carson'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 Moneisa Carson was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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 20, 2016PECOS Enrolled

3200 KEARNEY ST, FREMONT, CA 94538(510) 490-1222 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 6, 2026, Nov 20, 2020, Aug 20, 2016 (3 updates tracked since 2016).

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About Moneisa Carson NPPES

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

MONEISA CARSON (NPI 1497200372) is an individual marriage & family therapist in Fremont, California, licensed in California (94870) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Jose, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1497200372

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMONEISA CARSON

Location Address3200 KEARNEY STFremont, CA 94538-2299

Mailing AddressPo Box 276950Sacramento, CA 95827-6950 · (510) 490-1222

Phone(510) 490-1222

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateAugust 20, 2016

Last NPPES UpdateApril 6, 20263 updates tracked since enumeration

NPPES CertifiedApril 6, 2026

✔ NPI 1497200372 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 · 94870

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.

3200 KEARNEY ST, Fremont, CA 94538

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Secondary Practice Location 1

Location 11898 The Alameda Ste 115San Jose, CA 95126-1733 · Phone (650) 771-1517 ext. 49

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Moneisa Carson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4284119710

PECOS Enrollment IDI20260401002653

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 20

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

DR. LAKSHMI SRINIVASAN MD

Internal Medicine (Endocrinology, Diabetes & Metabolism)