Active NPI
Shasta Treatment Center
- Marriage & Family Therapist
- Redding, CA
National Provider Identifier
1083885347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFT8315
- Legal business name
- SHASTA TREATMENT CENTER
- Practice address
- 2030 Hartnell Ave
Suite D
Redding, CA 96002-5070 - Phone
- (530) 221-6237
- Fax
- (530) 222-5128
- NPI assigned
- Mar 14, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Barbara Irene Gephart, LMFT
- Title
- Director
- Phone
- (530) 221-6237
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFT8315 | CA | Primary |
Addresses
Primary practice location
2030 Hartnell Ave
Suite D
Redding, CA 96002-5070
Mailing address
2030 Hartnell Ave
Suite D
Redding, CA 96002-5070
Phone (530) 221-6237
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2030 Hartnell Ave
Ste D
Redding, CA 96002
Phone (530) 222-4787
804 E Cypress Ave
Ste 100
Redding, CA 96002
Phone (530) 222-4787
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Counselor
- Redding, CA
- NPI 1457480998
-
- Mental Health Counselor
- Mount Shasta, CA
- NPI 1104063999
-
- Marriage & Family Therapist
- Redding, CA
- NPI 1134990179
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205452800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1294704000000",
"number": "1083885347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2030 HARTNELL AVE",
"address_2": "SUITE D",
"city": "REDDING",
"state": "CA",
"postal_code": "960025070",
"telephone_number": "530-221-6237",
"fax_number": "530-222-5128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2030 HARTNELL AVE",
"address_2": "SUITE D",
"city": "REDDING",
"state": "CA",
"postal_code": "960025070",
"telephone_number": "530-221-6237",
"fax_number": "530-222-5128"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHASTA TREATMENT CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-14",
"last_updated": "2011-01-11",
"status": "A",
"authorized_official_last_name": "GEPHART",
"authorized_official_first_name": "BARBARA",
"authorized_official_middle_name": "IRENE",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "530-221-6237",
"authorized_official_name_prefix": "Miss",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFT8315",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redding, CA
- Shasta Speech and Language Pathology Inc.
- Shasta Strong Massage and Wellness
- Shasta Treatment Associates
- Shasta Treatment Associates
- Shasta Treatment Associates
- Shasta Union High School District
- Shasta Women'S Care,Inc
- Shauna Havlina Marriage and Family Therapy Services, Inc.
- Gregory A. Shaw, M.D.
- Jill Ann Shaw, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.