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CAROLYN DETIERRA MFT
NPI 1780090571
Marriage & Family Therapist in Santa Rosa, CA

Active since July 01, 2014
480 TESCONI CIR STE B, SANTA ROSA, CA 95401(707) 583-1456 Get Directions Write a Review

NPPES record last updated: May 19, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carolyn Detierra Mft NPPES

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

CAROLYN DETIERRA MFT (NPI 1780090571) is an individual marriage & family therapist in Santa Rosa, California, licensed in California (45053) and active in the NPI registry since July 2014.

NPPES Registry Identity

NPI1780090571
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameCAROLYN DETIERRACredential: MFT
Location Address480 TESCONI CIR STE BSanta Rosa, CA 95401-4691
Mailing Address1958 Alamo LnSanta Rosa, CA 95407-8908 · (707) 888-7519
Phone(707) 583-1456
Sole ProprietorYes
Enumeration DateJuly 1, 2014
Last NPPES UpdateMay 19, 2022
NPPES CertifiedMay 19, 2022
✔ NPI 1780090571 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 · 45053
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.
480 TESCONI CIR STE B, Santa Rosa, CA 95401
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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.

MR. JOHN DAVID WILDGUST RN, MSN, PHN, PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
480 TESCONI CIR STE B
SANTA ROSA, CA 95401
Sonoma County (707) 206-7268
JACQUELINE MCCARRICK
Marriage & Family Therapist
480 TESCONI CIR STE B
SANTA ROSA, CA 95401
Sonoma County (707) 206-7268
MS. AMBER RAMIREZ
Case Manager/Care Coordinator
480 TESCONI CIR STE B
SANTA ROSA, CA 95401
Sonoma County (707) 206-7268
MS. ANDRIE IRONS
Marriage & Family Therapist
480 TESCONI CIR STE B
SANTA ROSA, CA 95401
Sonoma County (707) 206-7268
SIYAN CLINICAL RESEARCH
Substance Abuse Rehabilitation Facility
480 TESCONI CIR STE B
SANTA ROSA, CA 95401
Sonoma County (707) 206-7268
DR. ANISH SUNDERRAJAN SHAH M.D
Psychiatry & Neurology (Psychiatry)
480 TESCONI CIR STE B
SANTA ROSA, CA 95401
Sonoma County (707) 206-7268
STEPHEN CLAY WILLIAMS M.D.
Psychiatry & Neurology (Psychiatry)
480 TESCONI CIR STE B
SANTA ROSA, CA 95401
Sonoma County (707) 206-7268
JESSICA SICKLER SCHMIDT PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
480 TESCONI CIR STE B
SANTA ROSA, CA 95401
Sonoma County (707) 206-7268

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 Carolyn Detierra's NPI number?

The NPI number for Carolyn Detierra is 1780090571. It was assigned to this individual provider in the NPPES registry on July 1, 2014.

Where is Carolyn Detierra located?

Carolyn Detierra practices at 480 Tesconi Cir Ste B, Santa Rosa, CA 95401. The listed phone number is (707) 583-1456.

What is Carolyn Detierra's specialty?

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

What insurance does Carolyn Detierra accept?

Health plans from Providence Health Plan list Carolyn Detierra as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Carolyn Detierra was last updated on May 19, 2022. 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.