Individual provider Active NPI

Chyrissee K. Lee, LMFT

  • Marriage & Family Therapist
  • Carmichael, CA
National Provider Identifier
1053616680
Registry record updated Feb 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
51562 Issued in CA
Practice address
5150 Fair Oaks Blvd
#101-244
Carmichael, CA 95608-5758
Phone
(916) 437-4600
Fax
(916) 437-4600
NPI assigned
Jan 12, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2013

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 51562 CA Primary

Addresses

Primary practice location

5150 Fair Oaks Blvd
#101-244
Carmichael, CA 95608-5758

Mailing address

455 University Ave
Suite 240
Sacramento, CA 95825-6513
Phone (916) 437-4600

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

LicenseStateTypeSpecialty
51562CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1294790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361145600000",
    "number": "1053616680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 UNIVERSITY AVE",
            "address_2": "SUITE 240",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958256513",
            "telephone_number": "916-437-4600",
            "fax_number": "916-437-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 FAIR OAKS BLVD",
            "address_2": "#101-244",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956085758",
            "telephone_number": "916-437-4600",
            "fax_number": "916-437-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "CHYRISSEE",
        "middle_name": "K.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-12",
        "last_updated": "2013-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "51562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmichael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.