Active NPI
Natasha Kumar
- Marriage & Family Therapist
- Woodland, CA
National Provider Identifier
1104317361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 130606
- Practice address
- 455 1St St
Woodland, CA 95695-4023 - Phone
- (530) 662-2211
- NPI assigned
- May 23, 2018
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 130606 | CA | Primary |
| Behavior Technician | 106S00000X | 18-53604 | CA | |
| Marriage & Family Therapist | 106H00000X | 117755 | CA |
Addresses
Primary practice location
455 1St St
Woodland, CA 95695-4023
Mailing address
455 1St St
Woodland, CA 95695-4023
Phone (530) 662-2211
Other practice location 1
7801 Laguna Blvd Ste 100
Elk Grove, CA 95758-7954
Phone (916) 683-1109
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 117755 | CA | MD | Marriage & Family Therapist |
| 18-53604 | CA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643155200000",
"number": "1104317361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 1ST ST",
"city": "WOODLAND",
"state": "CA",
"postal_code": "956954023",
"telephone_number": "530-662-2211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 1ST ST",
"city": "WOODLAND",
"state": "CA",
"postal_code": "956954023",
"telephone_number": "530-662-2211"
}
],
"practiceLocations": [
{
"address_1": "7801 Laguna Blvd Ste 100",
"address_purpose": "LOCATION",
"city": "Elk Grove",
"state": "CA",
"postal_code": "957587954",
"country_code": "US",
"telephone_number": "916-683-1109",
"fax_number": "209-572-1461",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KUMAR",
"first_name": "NATASHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-23",
"last_updated": "2022-01-26",
"certification_date": "2022-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "130606",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": "18-53604",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "117755",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.