Individual provider Active NPI

Megan Elizabeth Lara Negendank

  • Marriage & Family Therapist
  • Sacramento, CA
National Provider Identifier
1043661846
Registry record updated Jun 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
93259 Issued in CA
Practice address
1720 Capitol Ave
Suite 201
Sacramento, CA 95811-5187
Phone
(916) 572-7412
NPI assigned
Jun 23, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2016

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 93259 CA Primary

Addresses

Primary practice location

1720 Capitol Ave
Suite 201
Sacramento, CA 95811-5187

Mailing address

1720 Capitol Ave
Suite 201
Sacramento, CA 95811-5187
Phone (916) 572-7412

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1466640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466640000000",
    "number": "1043661846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 CAPITOL AVE",
            "address_2": "SUITE 201",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958115187",
            "telephone_number": "916-572-7412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 CAPITOL AVE",
            "address_2": "SUITE 201",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958115187",
            "telephone_number": "916-572-7412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEGENDANK",
        "first_name": "MEGAN",
        "middle_name": "ELIZABETH LARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-23",
        "last_updated": "2016-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "93259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.