Provider Demographics
NPI: | 1659746329 |
---|---|
Name: | CARPIO, NATALIE (MS, LMFT) |
Entity type: | Individual |
Prefix: | |
First Name: | NATALIE |
Middle Name: | |
Last Name: | CARPIO |
Suffix: | |
Gender: | F |
Credentials: | MS, LMFT |
Other - Prefix: | |
Other - First Name: | |
Other - Middle Name: | |
Other - Last Name: | |
Other - Suffix: | |
Other - Last Name Type: | |
Other - Credentials: | |
Mailing Address - Street 1: | 302 TAYLOR DR |
Mailing Address - Street 2: | |
Mailing Address - City: | CLAREMONT |
Mailing Address - State: | CA |
Mailing Address - Zip Code: | 91711-4135 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 310-955-0282 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 302 TAYLOR DR |
Practice Address - Street 2: | |
Practice Address - City: | CLAREMONT |
Practice Address - State: | CA |
Practice Address - Zip Code: | 91711-4135 |
Practice Address - Country: | US |
Practice Address - Phone: | 310-955-0282 |
Practice Address - Fax: | |
Is Sole Proprietor?: | Yes |
Enumeration Date: | 2015-12-07 |
Last Update Date: | 2025-06-29 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
CA | IMF82702 | 101YM0800X |
CA | 125391 | 106H00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 106H00000X | Behavioral Health & Social Service Providers | Marriage & Family Therapist | |
No | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | Mental Health |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
CA | 7184 | Other | MEDI-CAL |
CA | 7708 | Other | MEDI-CAL |
CA | 7667 | Other | MEDI-CAL |
CA | 7368 | Other | MEDI-CAL |