Active NPI
Michael Stephens, MFT
- Marriage & Family Therapist
- Redding, CA
National Provider Identifier
1063758274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 42307
- Practice address
- 3191 Churn Creek Rd
Redding, CA 96002-2123 - Phone
- (530) 224-7160
- NPI assigned
- Dec 14, 2012
- Sex
- Male
- 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 | 42307 | CA | Primary |
Addresses
Primary practice location
3191 Churn Creek Rd
Redding, CA 96002-2123
Mailing address
PO Box 445
Palo Cedro, CA 96073-0445
Phone (925) 330-3621
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Remi Vista Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Redding, CA
- NPI 1194778803
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490313600000",
"number": "1063758274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 445",
"city": "PALO CEDRO",
"state": "CA",
"postal_code": "960730445",
"telephone_number": "925-330-3621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3191 CHURN CREEK RD",
"city": "REDDING",
"state": "CA",
"postal_code": "960022123",
"telephone_number": "530-224-7160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENS",
"first_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-12-14",
"last_updated": "2017-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "42307",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redding, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.