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KATHLEEN CARLSON MFT
NPI 1528541992
Marriage & Family Therapist in San Mateo, CA

Active since September 12, 2018Opted out of Medicare · through Jan 1, 2028
1710 SOUTH AMPHLETT BLVD, SUITE 210H, SAN MATEO, CA 94402(650) 619-1198 Get Directions Write a Review

NPPES record last updated: September 12, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kathleen Carlson Mft NPPES

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

KATHLEEN CARLSON MFT (NPI 1528541992) is an individual marriage & family therapist in San Mateo, California, licensed in California (MFTLIC17742) and active in the NPI registry since September 2018. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1528541992
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameKATHLEEN CARLSONCredential: MFT
Location Address1710 SOUTH AMPHLETT BLVD, SUITE 210HSan Mateo, CA 94402
Mailing Address2707 Judah StSan Francisco, CA 94122 · (650) 619-1198
Phone(650) 619-1198
Sole ProprietorYes
Enumeration DateSeptember 12, 2018
✔ NPI 1528541992 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 · MFTLIC17742
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.
1710 SOUTH AMPHLETT BLVD, San Mateo, CA 94402
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Other Names 1

Former Name (1)Kathleen O'daycarlson Mft

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kathleen Carlson 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 January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

ADRIANNA CIMERA MASTER OF SCIENCE
Behavior Analyst
1710 SOUTH AMPHLETT BLVD, SUITE 314
SAN MATEO, CA 94402
San Mateo County (650) 242-0179

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 Kathleen Carlson's NPI number?

The NPI number for Kathleen Carlson is 1528541992. It was assigned to this individual provider in the NPPES registry on September 12, 2018. The provider is also known as Kathleen O'daycarlson Mft.

Where is Kathleen Carlson located?

Kathleen Carlson practices at 1710 South Amphlett Blvd Suite 210H, San Mateo, CA 94402. The listed phone number is (650) 619-1198.

What is Kathleen Carlson's specialty?

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

Is Kathleen Carlson enrolled in Medicare?

No. Kathleen Carlson has opted out of Medicare through January 1, 2028. 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 Kathleen Carlson was last updated on September 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.