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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CARLY GILMORE LMFT 164436
NPI 1891542270
Marriage & Family Therapist in North Hollywood, CA

Active since May 02, 2024PECOS Enrolled
10737 RIVERSIDE DR, NORTH HOLLYWOOD, CA 91602(800) 726-3890 Get Directions Write a Review

NPPES record last updated: September 22, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 22, 2026, May 2, 2024 (2 updates tracked since 2024).

About Carly Gilmore Lmft 164436 NPPES

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

CARLY GILMORE LMFT 164436 (NPI 1891542270) is an individual marriage & family therapist in North Hollywood, California, licensed in California (164436) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Burbank, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1891542270
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameCARLY GILMORECredential: LMFT 164436
Location Address10737 RIVERSIDE DRNorth Hollywood, CA 91602-2324
Mailing AddressPo Box 10541Burbank, CA 91510-0541
Phone(800) 726-3890
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMay 2, 2024
Last NPPES UpdateSeptember 22, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2026
✔ NPI 1891542270 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 · 164436
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.
10737 RIVERSIDE DR, North Hollywood, CA 91602
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Secondary Practice Location 1

Location 1300 N 3rd StBurbank, CA 91502-1107 · Phone (323) 628-2417

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carly Gilmore Lmft 164436 is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5193284834
PECOS Enrollment IDI20260824003186
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.

Medicare Billing Reassignment

Medicare enrollment records show Carly Gilmore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Silver Lake Psychology Inc.
6.1 mi
Psychologist
4325 W SUNSET BLVD, 206
Los Angeles, CA 90029
  • Reassigned Medicare billing, California enrollment
  • 104 clinicians in this Medicare group
NPI 1932651817 (310) 388-7983

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

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

MAYRA LEONOR DIAZ LMFT
Marriage & Family Therapist
10737 RIVERSIDE DR
NORTH HOLLYWOOD, CA 91602
Los Angeles County (818) 473-0945
GABRIELLE ELIZABETH EBERT ACSW
Counselor (Mental Health)
10737 RIVERSIDE DR
TOLUCA LAKE, CA 91602
Los Angeles County (310) 388-7983

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 Carly Gilmore's NPI number?

The NPI number for Carly Gilmore is 1891542270. It was assigned to this individual provider in the NPPES registry on May 2, 2024.

Where is Carly Gilmore located?

Carly Gilmore practices at 10737 Riverside Dr, North Hollywood, CA 91602. The listed phone number is (800) 726-3890.

What is Carly Gilmore's specialty?

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

Is Carly Gilmore enrolled in Medicare?

Yes. Carly Gilmore is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carly Gilmore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carly Gilmore reassigns Medicare benefits to Silver Lake Psychology Inc. (Los Angeles, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carly Gilmore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Carly Gilmore was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 days 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.