ALYSSE CARABALLO MA, LMFT, BCN
NPI 1699341719
Marriage & Family Therapist in Santa Clara, CA

Q: What is Alysse Caraballo's NPI number?

The NPI number for Alysse Caraballo is 1699341719. It was assigned to this individual provider in the NPPES registry on May 30, 2021.

Q: What is Alysse Caraballo's specialty?

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

Q: Is Alysse Caraballo enrolled in Medicare?

No. Alysse Caraballo has opted out of Medicare through July 14, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Alysse Caraballo was last updated on December 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 May 30, 2021Opted out of Medicare · through Jul 14, 2027

2797 PARK AVE STE 202, SANTA CLARA, CA 95050(408) 412-1836 Get Directions Write a Review

NPPES record last updated: December 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 28, 2025, Mar 13, 2023, Sep 27, 2021 and 2 more (5 updates tracked since 2021).

On this page

About Alysse Caraballo Ma, Lmft, Bcn NPPES

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

ALYSSE CARABALLO MA, LMFT, BCN (NPI 1699341719) is an individual marriage & family therapist in Santa Clara, California, licensed in California (145520) and active in the NPI registry since May 2021. She has opted out of Medicare through July 14, 2027.

NPPES Registry Identity

NPI1699341719

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameALYSSE CARABALLOCredential: MA, LMFT, BCN

Location Address2797 PARK AVE STE 202Santa Clara, CA 95050-6064

Mailing Address2797 Park Ave Ste 202Santa Clara, CA 95050-6064 · (408) 412-1836

Phone(408) 412-1836

Sole ProprietorNo

Enumeration DateMay 30, 2021

Last NPPES UpdateDecember 28, 20255 updates tracked since enumeration

NPPES CertifiedDecember 28, 2025

✔ NPI 1699341719 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 · 145520

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.

2797 PARK AVE STE 202, Santa Clara, CA 95050

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Alysse Caraballo Ma, Lmft, Bcn 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 July 14, 2025 through July 14, 2027.

Opt-Out Effective DateJuly 14, 2025

Opt-Out In Effect ThroughJuly 14, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Alysse Caraballo's NPI number?

The NPI number for Alysse Caraballo is 1699341719. It was assigned to this individual provider in the NPPES registry on May 30, 2021.

Where is Alysse Caraballo located?

Alysse Caraballo practices at 2797 Park Ave Ste 202, Santa Clara, CA 95050. The listed phone number is (408) 412-1836.

What is Alysse Caraballo's specialty?

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

Is Alysse Caraballo enrolled in Medicare?

No. Alysse Caraballo has opted out of Medicare through July 14, 2027. 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 Alysse Caraballo was last updated on December 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.