Individual provider Active NPI

Maris Loeffler, MA

  • Mental Health Counselor
  • Loomis, CA
National Provider Identifier
1104343557
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
94277 Issued in CA
Practice address
3875 Taylor Rd Ste 200G
Loomis, CA 95650-9242
Phone
(530) 401-2078
Fax
(530) 401-2078
NPI assigned
Aug 26, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 94277 CA Primary

Addresses

Primary practice location

3875 Taylor Rd Ste 200G
Loomis, CA 95650-9242

Mailing address

4937 Saint Thomas Dr
Fair Oaks, CA 95628-5312

Other practice location 1

313 Judah St Ste 5
Roseville, CA 95678-2651
Phone (916) 784-1120

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
94277CAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1503705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1104343557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4937 SAINT THOMAS DR",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956285312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3875 TAYLOR RD STE 200G",
            "city": "LOOMIS",
            "state": "CA",
            "postal_code": "956509242",
            "telephone_number": "530-401-2078",
            "fax_number": "530-401-2078"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "313 Judah St Ste 5",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "956782651",
            "country_code": "US",
            "telephone_number": "916-784-1120",
            "fax_number": "916-784-1120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOEFFLER",
        "first_name": "MARIS",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-26",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "94277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loomis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.