MEDICARE: MR. MATTHEW TODD CARLSON LPCC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	18728	CA

General Provider Information

NPI Number	:	1063639474
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MATTHEW TODD CARLSON LPCC

Provider Business Mailing Address
First Line	:	1809 N BERENDO ST APT 307
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90027-4189
Country	:	US
Telephone Number	:	612-601-5970
Fax Number	:

Provider Business Practice Location Address
First Line	:	1809 N BERENDO ST APT 307
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90027-4189
Country	:	US
Telephone Number	:	612-601-5970
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/19/2007
Last Update Date	:	12/15/2025

Similar Medicare Providers

1750660098 — DR. SHRAVYA GOVINDAPPAGARI M.D
Practice Location Address:

11210 SARDIS AVE APT 303
LOS ANGELES, CA
90064-4189

Practice Phone: 914-953-1048
Practice Fax:

1033830781 — THE RENO TRUST DATED NOVEMBER 8, 2007
Practice Location Address:

1741 COLBY AVE APT 203
LOS ANGELES, CA
90025-4189

Practice Phone: 310-774-6104
Practice Fax:

1750381844 — MR. SHAHID HUSSAIN SIAL M.D.
Practice Location Address:

1245 WILSHIRE BLVD , STE 616
LOS ANGELES, CA
90017-4806

Practice Phone: 310-400-4189
Practice Fax: 310-347-4246

1881736452 — MR. MAHMOOD BULKO TIMBO P.A
Practice Location Address:

10300 COMPTON AVE
LOS ANGELES, CA
90002-3628

Practice Phone: 818-693-4189
Practice Fax:

1760514707 — MR. JASON MICHAEL STARR LAC
Practice Location Address:

6221 WILSHIRE BLVD
LOS ANGELES, CA
90048-5201

Practice Phone: 323-549-0070
Practice Fax:

1881897650 — MS. SARAH CHURCH PSYD
Practice Location Address:

12021 WILMINGTON AVE
LOS ANGELES, CA
90059-3019

Practice Phone: 310-534-1083
Practice Fax:

Directions to “ MR. MATTHEW TODD CARLSON LPCC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.