Individual provider Active NPI

Carol Sheppard Leimbach, MFT

  • Marriage & Family Therapist
  • Fairfield, CA
National Provider Identifier
1174513154
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT 23412 Issued in CA
Practice address
628 Webster St
Fairfield, CA 94533-6214
Phone
(707) 426-0763
Fax
(707) 426-0951
NPI assigned
Oct 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFT 23412 CA Primary

Addresses

Primary practice location

628 Webster St
Fairfield, CA 94533-6214

Mailing address

628 Webster St
Fairfield, CA 94533-6214
Phone (707) 426-0763

Other identifiers 1

IdentifierTypeStateIssuer
155811OtherCAVALUE OPTIONS

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

State licenses

LicenseStateTypeSpecialty
MFT 23412CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1174513154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 WEBSTER ST",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945336214",
            "telephone_number": "707-426-0763",
            "fax_number": "707-426-0951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 WEBSTER ST",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945336214",
            "telephone_number": "707-426-0763",
            "fax_number": "707-426-0951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIMBACH",
        "first_name": "CAROL",
        "middle_name": "SHEPPARD",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-21",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT 23412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "155811",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.