Individual provider Active NPI

Holly M Webb, LMFT

  • Marriage & Family Therapist
  • Sacramento, CA
National Provider Identifier
1003225129
Registry record updated Aug 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
110413 Issued in CA
Practice address
631 H St
Sacramento, CA 95814
Phone
(916) 822-8975
Fax
(916) 880-5693
NPI assigned
Aug 4, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 110413 CA Primary

Addresses

Primary practice location

631 H St
Sacramento, CA 95814

Mailing address

3415 Martin Luther King Jr Blvd
Sacramento, CA 95817-3648
Phone (510) 368-0787

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240404001040 CA Practitioner - Marriage and Family Therapist 9931547338 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
110413CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspace Health CurrentSince Mar 20, 2024 Accepting new patients
Wellspace Health CurrentSince Mar 20, 2024 Accepting new patients
Wellspace Health Current Accepting new patients

Locations

3415 Martin Luther King Jr Blvd
Sacramento, CA 95817
Phone (916) 233-4910

631 H St
Sacramento, CA 95814
Phone (916) 469-4714

777 12th St
Ste 250
Sacramento, CA 95814
Phone (916) 469-4690

1820 J St
Sacramento, CA 95811
Phone (916) 550-5481

4990 Stockton Blvd
Sacramento, CA 95820
Phone 91646946900277

8233 E Stockton Blvd
Ste D
Sacramento, CA 95828
Phone (916) 236-4700

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1407110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596585600000",
    "number": "1003225129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3415 MARTIN LUTHER KING JR BLVD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958173648",
            "telephone_number": "510-368-0787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 H ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95814",
            "telephone_number": "916-822-8975",
            "fax_number": "916-880-5693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBB",
        "first_name": "HOLLY",
        "middle_name": "M",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-04",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "110413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.