Active NPI
Penny Ann Marsh, LMFT
- Marriage & Family Therapist
- Sacramento, CA
National Provider Identifier
1104272541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 122971
- Practice address
- 811 Grand Ave
D
Sacramento, CA 95838-3466 - Phone
- (916) 922-9868
- NPI assigned
- May 4, 2016
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Marriage & Family Therapist | 106H00000X | 85829 | CA | |
| Marriage & Family Therapist | 106H00000X | 122971 | CA | Primary |
Addresses
Primary practice location
811 Grand Ave
D
Sacramento, CA 95838-3466
Mailing address
811 Grand Ave
D
Sacramento, CA 95838-3466
Phone (916) 922-9868
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241008003666 | CA | Practitioner - Marriage and Family Therapist | 5799216289 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lumen Health and Psychological Services Inc.
Practice addresses (Care Compare)
8421 Auburn Blvd
Suite 110
Citrus Heights, CA 95610-0392
Phone (916) 531-8359
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 85829 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lumen Health and Psychological Services Inc. | Current | Accepting new patients | |
| Center for New Directions, Inc. | Past | Accepting new patients | |
| Business Needs | Past | Accepting new patients | |
| Human Touch Behavioral Health Inc | Past | Accepting new patients |
Locations
8421 Auburn Blvd
Ste 110
Citrus Heights, CA 95610
Phone (800) 464-4709
Organizations & group practices 4
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.
-
- Clinical Psychologist
- Citrus Heights, CA
- NPI 1366978843
CA
-
- Psychiatric Hospital
- Sacramento, CA
- NPI 1962936617
-
- Mental Health Counselor
- Laguna Hills, CA
- NPI 1578121190
-
- Psychiatry Physician
- Sacramento, CA
- NPI 1942548953
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611014400000",
"number": "1104272541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "811 GRAND AVE",
"address_2": "D",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958383466",
"telephone_number": "916-922-9868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "811 GRAND AVE",
"address_2": "D",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958383466",
"telephone_number": "916-922-9868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSH",
"first_name": "PENNY",
"middle_name": "ANN",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-04",
"last_updated": "2021-01-19",
"certification_date": "2021-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "85829",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "122971",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.