Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Carl Frederick Jefferson, CAS

Individual provider Mental Health Counselor · NPI 1063546083

Mr. Carl Frederick Jefferson, CAS is a Mental Health Counselor in Grass Valley, California. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
4

Practice location Address checks out

500 Crown Point Cir
Grass Valley, CA 95945-9561
Phone: (530) 470-2759
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Companion (primary) Taxonomy 372600000X
Mental Health Counselor Taxonomy 101YM0800X
Community Health Worker Taxonomy 172V00000X
Day Training/Habilitation Specialist Taxonomy 373H00000X

Record details

NPI number1063546083
Entity typeIndividual (Type 1)
GenderMale
Credentials CAS
Sole proprietorNo
NPI enumeratedMarch 14, 2007
Last updated in NPPESApril 2, 2025
Certification dateApril 2, 2025

Other providers in Grass Valley