Individual provider Active NPI

Christie Lynne Allan, LMFT

  • Marriage & Family Therapist
  • Fairfield, CA
National Provider Identifier
1093277683
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
101309 Issued in CA
Practice address
2101 Courage Dr
Fairfield, CA 94533-6717
Phone
(707) 784-4932
NPI assigned
Apr 2, 2019
Last updated
Jan 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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 101309 CA Primary

Addresses

Primary practice location

2101 Courage Dr
Fairfield, CA 94533-6717

Mailing address

3092 Sumatra St
West Sacramento, CA 95691-5846
Phone (707) 688-6194

Other names 1

  • Christie Lynne Miller-Vice Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
101309CAMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
County of Solano CurrentSince Dec 2, 2024 Accepting new patients
Grow Healthcare Group PC Marriage & Family Therapist CurrentSince Apr 21, 2024 Accepting new patients
Bay Area Community Services, Inc. Current Accepting new patients
Grow Healthcare Group PA Marriage & Family Therapist CurrentSince Apr 17, 2024 Accepting new patients
Bay Area Community Services, Inc. CurrentSince Oct 1, 2024 Accepting new patients
County of Solano Current Accepting new patients
County of Solano CurrentSince Dec 2, 2024 Accepting new patients
Bay Area Community Services, Inc. CurrentSince Oct 1, 2024 Accepting new patients

Locations

2101 Courage Dr
Fairfield, CA 94533
Phone (707) 428-1131

275 Beck Ave
#5210
Fairfield, CA 94533
Phone (707) 784-8315

390 40th St
Oakland, CA 94609
Phone (510) 247-8235

559 16th St
Oakland, CA 94612
Phone (510) 318-6112

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1093277683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3092 SUMATRA ST",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956915846",
            "telephone_number": "707-688-6194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 COURAGE DR",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945336717",
            "telephone_number": "707-784-4932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLAN",
        "first_name": "CHRISTIE",
        "middle_name": "LYNNE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-02",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "101309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTIE",
            "last_name": "MILLER-VICE",
            "middle_name": "LYNNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fairfield, CA

Sources for this page

Verify at the official NPI Registry.