Organization Active NPI

Lien Lac LMFT

  • Marriage & Family Therapist
  • Roseville, CA
National Provider Identifier
1104461920
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
LIEN LAC LMFT
Practice address
915 Highland Pointe Dr Ste 250
Roseville, CA 95678-5421
Phone
(510) 599-8139
NPI assigned
Nov 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Authorized official

Name
Lien K LacNPI 1669838090
Title
President
Phone
(916) 270-4199

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

915 Highland Pointe Dr Ste 250
Roseville, CA 95678-5421

Mailing address

428 Vernon St
Roseville, CA 95678-2637
Phone (916) 270-4199

National Provider Directory

National Provider Directory
Tax ID family
Inner Lemon Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1573776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723507200000",
    "number": "1104461920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 VERNON ST",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956782637",
            "telephone_number": "916-270-4199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 HIGHLAND POINTE DR STE 250",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956785421",
            "telephone_number": "510-599-8139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIEN LAC LMFT",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-15",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A",
        "authorized_official_last_name": "LAC",
        "authorized_official_first_name": "LIEN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-270-4199"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.