Active NPI
Susan Joan Redford, MFT
- Marriage & Family Therapist
- Yuba City, CA
National Provider Identifier
1093967994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC43709
- Practice address
- 1965 Live Oak Blvd
Yuba City, CA 95991-8828 - Phone
- (530) 822-7200
- Fax
- (530) 822-7108
- NPI assigned
- Oct 22, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LISAC1292 | AZ | |
| Mental Health Counselor | 101YM0800X | LPC1849 | AZ | |
| Marriage & Family Therapist | 106H00000X | MFC43709 | CA | Primary |
Addresses
Primary practice location
1965 Live Oak Blvd
Yuba City, CA 95991-8828
Mailing address
1965 Live Oak Blvd
Yuba City, CA 95991-8828
Phone (530) 822-7200
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
| License | State | Type | Specialty |
|---|---|---|---|
| LISAC1292 | AZ | MD | Addiction (Substance Use Disorder) Counselor |
| LPC1849 | AZ | MD | Mental Health Counselor |
| MFC43709 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325808000000",
"number": "1093967994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1965 LIVE OAK BLVD",
"city": "YUBA CITY",
"state": "CA",
"postal_code": "959918828",
"telephone_number": "530-822-7200",
"fax_number": "530-822-7108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1965 LIVE OAK BLVD",
"city": "YUBA CITY",
"state": "CA",
"postal_code": "959918828",
"telephone_number": "530-822-7200",
"fax_number": "530-822-7108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDFORD",
"first_name": "SUSAN",
"middle_name": "JOAN",
"credential": "MFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-22",
"last_updated": "2012-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "AZ",
"license": "LISAC1292",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AZ",
"license": "LPC1849",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC43709",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yuba City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.