Active NPI
Lafaya Annette Dostystallworth, LMFT
- Marriage & Family Therapist
- Sacramento, CA
National Provider Identifier
1013237999
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC47221
- Practice address
- 3932 Duxburg CT
Sacramento, CA 95827-3725 - Phone
- (916) 596-5613
- NPI assigned
- Jun 2, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC47221 | CA | Primary |
Addresses
Primary practice location
3932 Duxburg CT
Sacramento, CA 95827-3725
Mailing address
3932 Duxburg CT
Sacramento, CA 95827-3725
Phone (916) 596-5613
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC47221 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275436800000",
"number": "1013237999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3932 DUXBURG CT",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958273725",
"telephone_number": "916-596-5613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3932 DUXBURG CT",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958273725",
"telephone_number": "916-596-5613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOSTYSTALLWORTH",
"first_name": "LAFAYA",
"middle_name": "ANNETTE",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-02",
"last_updated": "2010-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC47221",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.