Active NPI
Suzette M. James, MFT
- Marriage & Family Therapist
- Folsom, CA
National Provider Identifier
1083863955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 33164
- Practice address
- 1665 Creekside Dr
Ste 106
Folsom, CA 95630-3538 - Phone
- (916) 351-8121
- Fax
- (916) 351-8121
- NPI assigned
- Sep 15, 2008
- Last updated
- Feb 23, 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 | 33164 | CA | Primary |
Addresses
Primary practice location
1665 Creekside Dr
Ste 106
Folsom, CA 95630-3538
Mailing address
1665 Creekside Dr
Ste 106
Folsom, CA 95630-3538
Phone (916) 351-8121
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 1, 2024 through Feb 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": "1221436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266883200000",
"number": "1083863955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1665 CREEKSIDE DR",
"address_2": "STE 106",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956303538",
"telephone_number": "916-351-8121",
"fax_number": "916-351-8121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1665 CREEKSIDE DR",
"address_2": "STE 106",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956303538",
"telephone_number": "916-351-8121",
"fax_number": "916-351-8121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMES",
"first_name": "SUZETTE",
"middle_name": "M.",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-15",
"last_updated": "2010-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "33164",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Folsom, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.