Individual provider Active NPI

Margaret Poytress

  • Marriage & Family Therapist
  • Redding, CA
National Provider Identifier
1124320122
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
135623 Issued in CA
Practice address
930 Executive Way Ste 125
Redding, CA 96002-0634
Phone
(530) 276-8707
NPI assigned
Nov 23, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 76687 CA
Marriage & Family Therapist 106H00000X 135623 CA Primary

Addresses

Primary practice location

930 Executive Way Ste 125
Redding, CA 96002-0634

Mailing address

P.O. Box 491424
Redding, CA 96049
Phone (530) 276-8707

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240410003796 CA Practitioner - Marriage and Family Therapist 1557709409 Reassigns benefits to 2 organizations
Practice locations: Redding, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

930 Executive Way
Suite 125
Redding, CA 96002-0634
Phone (530) 356-6781

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
135623CAMDMarriage & Family Therapist
76687CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PC Marriage & Family Therapist CurrentSince Apr 6, 2024 Accepting new patients
County of Shasta CurrentSince Feb 7, 2024 Accepting new patients
County of Shasta CurrentSince Feb 7, 2024 Accepting new patients

Locations

2640 Breslauer Way
Redding, CA 96001
Phone (530) 225-5252

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1290470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1124320122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 491424",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "96049",
            "telephone_number": "530-276-8707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 EXECUTIVE WAY STE 125",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960020634",
            "telephone_number": "530-276-8707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POYTRESS",
        "first_name": "MARGARET",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-23",
        "last_updated": "2024-01-08",
        "certification_date": "2023-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "76687",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "135623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.